Healthcare Provider Details

I. General information

NPI: 1346816832
Provider Name (Legal Business Name): SARAH MARY MENDE MD, MPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/03/2021
Last Update Date: 08/07/2025
Certification Date: 08/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6800 NW 39TH EXPY
BETHANY OK
73008-2513
US

IV. Provider business mailing address

3349 NW 187TH ST
EDMOND OK
73012-0038
US

V. Phone/Fax

Practice location:
  • Phone: 405-789-6711
  • Fax:
Mailing address:
  • Phone: 915-269-1031
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number38241
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: