Healthcare Provider Details

I. General information

NPI: 1669788006
Provider Name (Legal Business Name): SUSHILA ARYA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/24/2010
Last Update Date: 04/28/2025
Certification Date: 04/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 STANTON L YOUNG BLVD STE 2000
OKLAHOMA CITY OK
73104
US

IV. Provider business mailing address

800 STANTON L YOUNG BLVD STE 2000
OKLAHOMA CITY OK
73104-5018
US

V. Phone/Fax

Practice location:
  • Phone: 405-271-8469
  • Fax:
Mailing address:
  • Phone: 405-271-8469
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number01250056678
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code207VE0102X
TaxonomyReproductive Endocrinology Physician
License Number33470
License Number StateOK
# 3
Primary TaxonomyY
Taxonomy Code207VE0102X
TaxonomyReproductive Endocrinology Physician
License NumberQ3636
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: