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NPI Code Detail

MEDICARE: SHANTHARAM DARBE M D P C

MEDICARE: SHANTHARAM DARBE M D P C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry Physician16024OK
21041C0700XClinical Social Worker2561OK

General Provider Information

NPI Number : 1174742597
Entity Type Code : Organization
Provider Name (Legal Business Name) : SHANTHARAM DARBE M D P C
Provider Business Mailing Address
First Line : 4601 N CLASSEN BLVD
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73118-4815
Country : US
Telephone Number : 405-840-9999
Fax Number : 405-840-9998
Provider Business Practice Location Address
First Line : 4601 N CLASSEN BLVD
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73118-4815
Country : US
Telephone Number : 405-840-9999
Fax Number : 405-840-9998
Authorized Official
Title or Position : MANAGER, PHYSICIAN
Name : DR. SHANTHARAM DARBE
Credential : M.D.
Telephone Number : 405-840-9999
Provider Enumeration Date : 04/24/2007
Last Update Date : 09/11/2025

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