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NPI Code Detail

MEDICARE: DR. BASHAR SAMIR ALASAD M.D.

MEDICARE: DR. BASHAR SAMIR ALASAD M.D.
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
1207RH0003XHematology & Oncology Physician22539OK

General Provider Information

NPI Number : 1215988803
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BASHAR SAMIR ALASAD M.D.
Provider Business Mailing Address
First Line : 5300 N INDEPENDENCE AVE
Second Line : SUITE 280
City : OKLAHOMA CITY
State : OK
Zip : 73112-5556
Country : US
Telephone Number : 405-631-0919
Fax Number : 405-636-0518
Provider Business Practice Location Address
First Line : 4301 S WESTERN AVE
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73109-3411
Country : US
Telephone Number : 405-631-0919
Fax Number : 405-636-0518
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/16/2006
Last Update Date : 06/27/2017

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