MEDICARE: GOPAKUMAR B DAMAYANTHY

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
1	174400000X	Specialist	1257	OK

General Provider Information

NPI Number	:	1578821823
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GOPAKUMAR B DAMAYANTHY

Provider Business Mailing Address
First Line	:	8855 E RENO AVE
Second Line	:
City	:	MIDWEST CITY
State	:	OK
Zip	:	73110-7729
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8855 E RENO AVE
Second Line	:
City	:	MIDWEST CITY
State	:	OK
Zip	:	73110-7729
Country	:	US
Telephone Number	:	405-610-3048
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/24/2012
Last Update Date	:	04/24/2012

Similar Medicare Providers

1861940561 — SARAH WHITE
Practice Location Address:

8855 E RENO AVE , SUITE 212
MIDWEST CITY, OK
73110-7729

Practice Phone: 405-610-3048
Practice Fax: 405-610-3049

1154277119 — MS. MERCEDES PETERMAN
Practice Location Address:

4998 DORSEY HALL DR UNIT A5
ELLICOTT CITY, MD
21042-7729

Practice Phone: 240-328-9935
Practice Fax:

1861488330 — ANA C CRUZ DIAZ M.D
Practice Location Address:

7729 E PINE LAKE LN
FLORAL CITY, FL
34436-3745

Practice Phone: 352-765-3003
Practice Fax: 352-616-0915

1629066295 — DR. IVETTE HERNANDEZ MD
Practice Location Address:

7729 E PINE LAKE LN
FLORAL CITY, FL
34436-3745

Practice Phone: 352-765-3003
Practice Fax: 352-616-0915

1427524982 — REBECCA FAYE SKILLERN FNP-C
Practice Location Address:

7729 WRIGHT RIDGE RD
IRON CITY, TN
38463-4100

Practice Phone: 931-724-4397
Practice Fax:

1750237921 — MACKENZIE SHAMBURG
Practice Location Address:

1717 S AIR DEPOT BLVD
MIDWEST CITY, OK
73110-5103

Practice Phone: 580-548-7003
Practice Fax:

Directions to “ GOPAKUMAR B DAMAYANTHY ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.