Healthcare Provider Details

I. General information

NPI: 1356279731
Provider Name (Legal Business Name): MARSERIS ANAN KAID BAY CHOATE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MARSERIS KAID BAY VIERA MD

II. Dates (important events)

Enumeration Date: 05/13/2026
Last Update Date: 05/13/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 NE 10TH ST
OKLAHOMA CITY OK
73104-5420
US

IV. Provider business mailing address

900 NE 10TH ST
OKLAHOMA CITY OK
73104-5420
US

V. Phone/Fax

Practice location:
  • Phone: 405-271-2230
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number47978
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: