Healthcare Provider Details

I. General information

NPI: 1871585679
Provider Name (Legal Business Name): FARHAT HUSAIN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/17/2005
Last Update Date: 02/05/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3366 NW EXPRESSWAY SUITE 200
OKLAHOMA CITY OK
73112-4462
US

IV. Provider business mailing address

5300 N INDEPENDENCE AVE SUITE 280
OKLAHOMA CITY OK
73112-5556
US

V. Phone/Fax

Practice location:
  • Phone: 405-713-9930
  • Fax: 405-713-9931
Mailing address:
  • Phone: 405-713-9930
  • Fax: 405-713-9931

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number17893
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: