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Individual

DR. GAYATHRI DASHARATHY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
3300 NW EXPRESSWAY, OKLAHOMA CITY, OK 73112-4418
(405) 949-3349
Mailing address
2805 S BRYANT AVE, SUITE A, EDMOND, OK 73013-6161
(405) 340-0766
(405) 844-3600

Taxonomy

Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
Primary
15716
OK
2084N0400X
Neurology Physician
15716
OK
2084P0800X
Psychiatry Physician
15716
OK
2084P0802X
Addiction Psychiatry Physician
15716
OK
2084P0804X
Child & Adolescent Psychiatry Physician
15716
OK
2084P0805X
Geriatric Psychiatry Physician
15716
OK
2084P2900X
Pain Medicine (Psychiatry & Neurology) Physician
15716
OK
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
15716
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100132130A
OK
Enumeration date
11/09/2006
Last updated
07/21/2022
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