Healthcare Provider Details

I. General information

NPI: 1891765079
Provider Name (Legal Business Name): ARCHANA BARVE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/23/2006
Last Update Date: 09/30/2014
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 TaxonomyN
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number06-1731541
License Number StateOK
# 2
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number20734
License Number StateOK
# 3
Primary TaxonomyN
Taxonomy Code2081P0010X
TaxonomyPediatric Rehabilitation Medicine Physician
License Number20734
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: