Individual provider · Type 1 NPI

Merry Mathew Thenmadathil, PA-C

Medical Physician Assistant · Oklahoma City, OK

NPI number 1548327653 Active

Practice location

9900 Broadway Ext Ste 200
Oklahoma City, OK 73114-6323

Call (405) 608-8833 Map

Fax (405) 608-8188

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700X011540 (NY)
Medical Physician Assistant Primary 363AM0700X1857 (OK)

Medical Physician Assistant: Definition to come...

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About NPI 1548327653

Merry Mathew Thenmadathil, PA-C's National Provider Identifier is 1548327653, issued on Jan 2, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Oklahoma City, OK. The record was last updated on Jul 28, 2025.