Doctor Name: | MICHAEL THAMBUSWAMY |
NPI Number: | 1134369556 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | TRN 12140 |
Business Practice Address: | 6802 S Olympia Ave W Suite 300 Tulsa, OK - 741321823 |
Business Phone Number: | 9187490762 |
Business Fax Number: | 9187444246 |
Mailing Address: | 6802 S Olympia Ave W, Suite 300 TULSA |
State: | OK |
Postal Code: | 741321823 |
Phone Number: | 9187490762 |
Fax Number: | 9187444246 |
NPI Enumeration Date: | 02/25/2009 |
NPI Last Update Date: | 08/12/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | TRN 12140 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |