Individual
BOBBY JOSEPH THARAYIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1145 S UTICA AVE, STE 460, TULSA, OK 74104-4000
(918) 579-5749
(918) 579-5762
Mailing address
11511 SHADOW CREEK PKWY, PEARLAND, TX 77584-7298
(713) 442-0000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
29106
OK
207R00000X
Internal Medicine Physician
S3600
TX
208M00000X
Hospitalist Physician
S3600
TX
Other
Enumeration date
04/09/2012
Last updated
07/08/2021
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