MEDICARE: FARHAT HUSAIN 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
1	2084N0400X	Neurology Physician	17893	OK

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	130023512	OTHER	OK	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	5125352	OTHER	OK	AETNA EDI

General Provider Information

NPI Number	:	1871585679
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FARHAT HUSAIN 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	:	405-713-9930
Fax Number	:	405-713-9931

Provider Business Practice Location Address
First Line	:	3366 NW EXPRESSWAY
Second Line	:	SUITE 200
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73112-4462
Country	:	US
Telephone Number	:	405-713-9930
Fax Number	:	405-713-9931

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

Provider Enumeration Date	:	08/17/2005
Last Update Date	:	02/05/2016

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Directions to “ FARHAT HUSAIN M.D.” Practice Location

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