MEDICARE: SAIF ULLAH FAROOQ MD

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
1	207RP1001X	Pulmonary Disease Physician	24434	OK

General Provider Information

NPI Number	:	1518007632
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SAIF ULLAH FAROOQ MD

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	:	405-644-5040
Fax Number	:	405-644-5039

Provider Business Practice Location Address
First Line	:	4221 S WESTERN AVE STE 4005
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73109-3436
Country	:	US
Telephone Number	:	405-644-5040
Fax Number	:	405-644-5039

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/07/2007
Last Update Date	:	08/16/2019

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