Healthcare Provider Details

I. General information

NPI: 1891542676
Provider Name (Legal Business Name): HEND SHAWQI NASIR ABURUMH M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/01/2024
Last Update Date: 09/27/2024
Certification Date: 09/27/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 CHILDREN'S AVE UNIVERSITY OF OKLAHOMA HEALTH SCIEN
OKLAHOMA CITY OK
73104
US

IV. Provider business mailing address

1200 CHILDREN'S AVE UNIVERSITY OF OKLAHOMA HEALTH SCIEN
OKLAHOMA CITY OK
73104
US

V. Phone/Fax

Practice location:
  • Phone: 405-271-4417
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number43593
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: