Healthcare Provider Details

I. General information

NPI: 1780620351
Provider Name (Legal Business Name): ARCHANA P BARVE, MD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/21/2006
Last Update Date: 09/24/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3613 NW 56TH ST SUITE 140
OKC OK
73112
US

IV. Provider business mailing address

3613 NW 56TH ST SUITE 140
OKC OK
73112
US

V. Phone/Fax

Practice location:
  • Phone: 405-949-6481
  • Fax: 405-795-5909
Mailing address:
  • Phone: 405-949-6481
  • Fax: 405-795-5909

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2081P0010X
TaxonomyPediatric Rehabilitation Medicine Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code2081P2900X
TaxonomyPain Medicine (Physical Medicine & Rehabilitation) Physician
License Number20734
License Number StateOK

VIII. Authorized Official

Name: DR. ARCHANA P. BARVE
Title or Position: COO
Credential: MD
Phone: 405-949-6481