THARA DAMODARAN MD LLC
NPI 1023237864
Internal Medicine - Infectious Disease in Oklahoma City, OK

Active since April 24, 2007
1925 NW 142ND ST, OKLAHOMA CITY, OK 73134(405) 706-3117(877) 349-5185 Get Directions Write a Review

NPPES record last updated: February 7, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Feb 7, 2025, Aug 22, 2020 (2 updates tracked since 2020).

  • Organization
  • Internal Medicine
  • Infectious Disease

About THARA DAMODARAN MD LLC

This page provides the complete NPI Profile along with additional information for Thara Damodaran Md Llc, an internist established in Oklahoma City, Oklahoma operating as a Internal Medicine, focusing in infectious disease . The healthcare provider is registered in the NPI registry with number 1023237864 assigned on April 2007. The practitioner's primary taxonomy code is 207RI0200X with license number 35774 (AZ). The provider is registered as an organization and their NPI record was last updated one year ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Thara R Damodaran M.d. (Owner)

NPI
1023237864 Verify this NPI
Provider Name
THARA DAMODARAN MD LLC
Entity Type
Organization
Location Address
1925 NW 142ND ST OKLAHOMA CITY, OK 73134
Location Phone
(405) 706-3117
Location Fax
(877) 349-5185
Mailing Address
PO BOX 20490 MESA, AZ 85277
Mailing Phone
(480) 985-1093
Mailing Fax
(480) 296-7665
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-24-2007
Last Update Date
02-07-2025
Code Navigator

An internist like Thara Damodaran Md Llc is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Location Map

Secondary Locations

  • 515 N Mesa Dr
    Mesa, AZ 85201
    (480) 720-8744

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine Infectious Disease

Taxonomy Code
207RI0200X
Type
Allopathic & Osteopathic Physicians
License No.
35774
License State
AZ
Taxonomy Description
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. THARA R DAMODARAN M.D.

Authorized Official Title
OWNER
Authorized Official Phone
(480) 720-8744

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
L13560915OTHER (01)AZORGANIZATION REGISTRATION

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Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Internal Medicine (Infectious Disease)
1925 NW 142ND ST
OKLAHOMA CITY, OK 73134
Nurse Practitioner
1925 NW 142ND ST
OKLAHOMA CITY, OK 73134
Physician Assistant
1925 NW 142ND ST
OKLAHOMA CITY, OK 73134

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1023237864, enumerated as an "organization" on April 24, 2007.

The provider is located at 1925 NW 142ND ST OKLAHOMA CITY, OK 73134 and the phone number is (405) 706-3117.

Internal Medicine with taxonomy code 207RI0200X and a focus in Infectious Disease.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.