Healthcare Provider Details

I. General information

NPI: 1992008072
Provider Name (Legal Business Name): ARTHRITIS & RHEUMATOLOGY CENTER OF OKLAHOMA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/13/2010
Last Update Date: 07/31/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1111 N LEE AVE STE 249
OKLAHOMA CITY OK
73103-2600
US

IV. Provider business mailing address

1111 N LEE AVE STE 249
OKLAHOMA CITY OK
73103-2600
US

V. Phone/Fax

Practice location:
  • Phone: 405-606-8730
  • Fax: 405-606-8750
Mailing address:
  • Phone: 405-606-8730
  • Fax: 405-606-8750

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MOHAMMAD FAISAL KHAN
Title or Position: OWNER
Credential: MD
Phone: 405-606-8730