Provider Demographics
NPI:1598337909
Name:SENTHIL PALANIAPPUN MD PA
Entity type:Organization
Organization Name:SENTHIL PALANIAPPUN MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SENTHIL
Authorized Official - Middle Name:
Authorized Official - Last Name:PALANIAPPUN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:408-829-9013
Mailing Address - Street 1:13700 S WESTERN AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73170-7046
Mailing Address - Country:US
Mailing Address - Phone:408-829-9013
Mailing Address - Fax:405-669-3653
Practice Address - Street 1:13700 S WESTERN AVE STE 100
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73170-7046
Practice Address - Country:US
Practice Address - Phone:408-829-9013
Practice Address - Fax:405-669-3653
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-14
Last Update Date:2024-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional RadiologyGroup - Single Specialty
No2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty