Healthcare Provider Details

I. General information

NPI: 1205082401
Provider Name (Legal Business Name): SENTHIL PALANIAPPUN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/07/2008
Last Update Date: 08/27/2025
Certification Date: 08/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10300 GREENBRIAR PKWY STE A
OKLAHOMA CITY OK
73159-7671
US

IV. Provider business mailing address

10300 GREENBRIAR PKWY STE B
OKLAHOMA CITY OK
73159-7671
US

V. Phone/Fax

Practice location:
  • Phone: 405-669-3569
  • Fax:
Mailing address:
  • Phone: 405-669-3569
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License NumberA104307
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code2085R0204X
TaxonomyVascular & Interventional Radiology Physician
License NumberA104307
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: