MEDICARE: USMAN BABER MD

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
1	207R00000X	Internal Medicine Physician	243959	NY
2	207RC0000X	Cardiovascular Disease Physician	243959	NY
3	207RI0011X	Interventional Cardiology Physician	243959	NY
4	207RI0011X	Interventional Cardiology Physician	35506	OK

General Provider Information

NPI Number	:	1538378427
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	USMAN BABER MD

Provider Business Mailing Address
First Line	:	800 N OKLAHOMA AVE APT 1343
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73104-4416
Country	:	US
Telephone Number	:	214-682-7904
Fax Number	:

Provider Business Practice Location Address
First Line	:	800 STANTON L YOUNG BLVD
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73104-5018
Country	:	US
Telephone Number	:	405-271-4742
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/21/2007
Last Update Date	:	04/27/2020

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