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General NPI Number Information
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NPI Number | 1295316107
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Entity Type | Organization
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Legal Business Name | MARA VASCULAR & INTERVENTIONAL RADIOLOGY OF OKC LLC
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Dates
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Enumeration Date | 04/21/2021
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Last Update Date | 08/27/2025
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Provider Practice Location Address
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Address Line | 10300 GREENBRIAR PKWY STE A
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City | OKLAHOMA CITY
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State | OK
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Zip | 73159-7671
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Country | US
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Telephone | 405-669-3569
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Fax |
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Provider Business Mailing Address
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Address Line | 10300 GREENBRIAR PKWY STE B
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City | OKLAHOMA CITY
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State | OK
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Zip | 73159-7671
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Country | US
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Telephone | 405-669-3569
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SENTHIL C PALANIAPPUN
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Credential | MD
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Telephone | 408-829-9013
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number |
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License Number State |
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