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NPI Code Detail

MEDICARE: FARES ALREFAI

MEDICARE: FARES ALREFAI
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207W00000XOphthalmology Physician50002OK

General Provider Information

NPI Number : 1215603303
Entity Type Code : Individual
Provider Name (Legal Business Name) : FARES ALREFAI
Provider Business Mailing Address
First Line : 608 STANTON L YOUNG BLVD
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73104-5014
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 608 STANTON L YOUNG BLVD
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73104-5014
Country : US
Telephone Number : 405-971-6060
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/18/2021
Last Update Date : 06/27/2026

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Directions to “ FARES ALREFAI ” Practice Location

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