Healthcare Provider Details
I. General information
NPI: 1235982976
Provider Name (Legal Business Name): FERROUS HEALTH MEDICAL GROUP PA
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/11/2024
Last Update Date: 04/12/2024
Certification Date: 04/12/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
11200 N PORTLAND AVE FL 2
OKLAHOMA CITY OK
73120-5045
US
IV. Provider business mailing address
85 5TH AVE FL 8
NEW YORK NY
10003-3019
US
V. Phone/Fax
- Phone: 888-839-3982
- Fax: 888-711-7291
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207V00000X |
| Taxonomy | Obstetrics & Gynecology Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
SABA
HAQ
Title or Position: PRESIDENT
Credential: MD
Phone: 949-463-0650