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NPI Code Detail

MEDICARE: PRIYA THAKUR

MEDICARE: PRIYA THAKUR
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
1390200000XStudent in an Organized Health Care Education/Training Program
2390200000XStudent in an Organized Health Care Education/Training ProgramOK
32084P0800XPsychiatry Physician1026ROK

General Provider Information

NPI Number : 1265079644
Entity Type Code : Individual
Provider Name (Legal Business Name) : PRIYA THAKUR
Provider Business Mailing Address
First Line : 920 STANTON L YOUNG BLVD STE 3216
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73104-5036
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 920 STANTON L YOUNG BLVD STE 3216
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73104-5036
Country : US
Telephone Number : 405-271-5251
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/05/2019
Last Update Date : 07/25/2025

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Directions to “ PRIYA THAKUR ” Practice Location

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