Active NPI
Reeta Thukral, M.D.
- Nephrology Physician
- Edmond, OK
National Provider Identifier
1225069784
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 35931
- Practice address
- 3132 Garden Vista
Edmond, OK 73034 - Phone
- (785) 608-7129
- NPI assigned
- Jul 5, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 35931 | WI | Primary |
Addresses
Primary practice location
3132 Garden Vista
Edmond, OK 73034
Mailing address
3132 Garden Vista
Edmond, OK 73034
Phone (785) 608-7129
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35931 | WI | MD | Nephrology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1225069784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3132 GARDEN VISTA",
"city": "EDMOND",
"state": "OK",
"postal_code": "73034",
"telephone_number": "785-608-7129"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3132 GARDEN VISTA",
"city": "EDMOND",
"state": "OK",
"postal_code": "73034",
"telephone_number": "785-608-7129"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THUKRAL",
"first_name": "REETA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "WI",
"license": "35931",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Edmond, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.