MEDICARE: KATSIARYNA SERHEEUNA HUSEVA BAILOR 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	207YX0905X	Otolaryngology/Facial Plastic Surgery Physician	ME123799	FL
2	2082S0099X	Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician	ME123799	FL
3	207Y00000X	Otolaryngology Physician	ME123799	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1982861308
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATSIARYNA SERHEEUNA HUSEVA BAILOR MD

Provider Business Mailing Address
First Line	:	249 NW 34TH ST
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73118-8615
Country	:	US
Telephone Number	:	954-383-8549
Fax Number	:	543-838-5499

Provider Business Practice Location Address
First Line	:	249 NW 34TH ST
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73118-8615
Country	:	US
Telephone Number	:	543-838-5499
Fax Number	:

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

Provider Enumeration Date	:	05/22/2008
Last Update Date	:	01/30/2025

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