Healthcare Provider Details

I. General information

NPI: 1891632873
Provider Name (Legal Business Name): TEJSHARANI BEERAM M.B.B.S
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/29/2026
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 CHILDREN'S AVE OKLAHOMA CHILDREN'S HOSPITAL OU HEA SUITE 14405
OKLAHOMA CITY OK
73104
US

IV. Provider business mailing address

1200 CHILDREN'S AVE OKLAHOMA CHILDREN'S HOSPITAL OU HEA SUITE 14405
OKLAHOMA CITY OK
73104
US

V. Phone/Fax

Practice location:
  • Phone: 405-271-4417
  • Fax: 405-271-2920
Mailing address:
  • Phone: 405-271-4417
  • Fax: 405-271-2920

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number50124
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: