Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Thara Damodaran MD LLC

Organization Infectious Disease Physician · NPI 1023237864

Thara Damodaran MD LLC is an Infectious Disease Physician in Oklahoma City, Oklahoma. Works from 2 locations. Licensed in Arizona.

Licensed in
AZ
In the registry since
2007
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1925 NW 142nd St
Oklahoma City, OK 73134-6193
Phone: (405) 706-3117
Fax: (877) 349-5185
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 515 N Mesa Dr, Mesa, AZ 85201-5914 — (480) 720-8744

Specialties & licences

Infectious Disease Physician (primary) Taxonomy 207RI0200X · Licence 35774 (AZ)

Record details

NPI number1023237864
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Thara Damodaran — Owner · (480) 720-8744
NPI enumeratedApril 24, 2007
Last updated in NPPESFebruary 7, 2025
Certification dateFebruary 7, 2025
Mailing addressPo Box 20490, Mesa, AZ 85277-0490

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