Provider Demographics
NPI:1326312505
Name:GS MEDICAL CONSULTANTS INC
Entity Type:Organization
Organization Name:GS MEDICAL CONSULTANTS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GAYATHRI
Authorized Official - Middle Name:
Authorized Official - Last Name:DASHARATHY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:405-340-0766
Mailing Address - Street 1:2805 S BRYANT AVE
Mailing Address - Street 2:SUITE A
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73013-6161
Mailing Address - Country:US
Mailing Address - Phone:405-340-0766
Mailing Address - Fax:405-844-3600
Practice Address - Street 1:2805 S BRYANT AVE
Practice Address - Street 2:SUITE A
Practice Address - City:EDMOND
Practice Address - State:OK
Practice Address - Zip Code:73013-6161
Practice Address - Country:US
Practice Address - Phone:405-340-0766
Practice Address - Fax:405-844-3600
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-06
Last Update Date:2012-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK157162084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK100132130AMedicaid
OK100132130AMedicaid