Provider Demographics
NPI:1053320515
Name:OAKS, HOWARD G (MD)
Entity Type:Individual
Prefix:DR
First Name:HOWARD
Middle Name:G
Last Name:OAKS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1317 MEDICAL DR
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28304-4418
Mailing Address - Country:US
Mailing Address - Phone:910-323-3890
Mailing Address - Fax:910-323-4509
Practice Address - Street 1:1317 MEDICAL DR
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28304-4418
Practice Address - Country:US
Practice Address - Phone:910-323-3890
Practice Address - Fax:910-323-4509
Is Sole Proprietor?:No
Enumeration Date:2006-08-05
Last Update Date:2011-09-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC9600348207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7586793OtherCIGNA
NC7274815OtherAETNA
NC5904150Medicaid
NCP00642094OtherRR MEDICARE
NCI64210Medicare UPIN
NC2056230AMedicare PIN