Provider Demographics
NPI:1780620351
Name:ARCHANA P BARVE, MD PC
Entity type:Organization
Organization Name:ARCHANA P BARVE, MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:DR
Authorized Official - First Name:ARCHANA
Authorized Official - Middle Name:P
Authorized Official - Last Name:BARVE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:405-949-6481
Mailing Address - Street 1:3613 NW 56TH ST
Mailing Address - Street 2:SUITE 140
Mailing Address - City:OKC
Mailing Address - State:OK
Mailing Address - Zip Code:73112
Mailing Address - Country:US
Mailing Address - Phone:405-949-6481
Mailing Address - Fax:405-795-5909
Practice Address - Street 1:3613 NW 56TH ST
Practice Address - Street 2:SUITE 140
Practice Address - City:OKC
Practice Address - State:OK
Practice Address - Zip Code:73112
Practice Address - Country:US
Practice Address - Phone:405-949-6481
Practice Address - Fax:405-795-5909
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-21
Last Update Date:2014-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK207342081P2900X
2081P0010X, 208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty
No2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain MedicineGroup - Single Specialty
No2081P0010XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPediatric Rehabilitation MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK100132060AMedicaid
OK100132060AMedicaid
OK400522391Medicare ID - Type Unspecified