Provider Demographics
NPI:1225006570
Name:FARUQUE, HASHIB D (MD)
Entity Type:Individual
Prefix:
First Name:HASHIB
Middle Name:D
Last Name:FARUQUE
Suffix:
Gender:M
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:5300 N. INDEPENDENCE
Mailing Address - Street 2:SUITE 280
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73112-5556
Mailing Address - Country:US
Mailing Address - Phone:405-427-2441
Mailing Address - Fax:405-427-4741
Practice Address - Street 1:2601 SPENCER RD
Practice Address - Street 2:
Practice Address - City:SPENCER
Practice Address - State:OK
Practice Address - Zip Code:73084
Practice Address - Country:US
Practice Address - Phone:405-427-2441
Practice Address - Fax:405-427-4741
Is Sole Proprietor?:No
Enumeration Date:2006-03-12
Last Update Date:2018-08-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OK221602084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
H76326Medicare UPIN
OK24R600623Medicare ID - Type Unspecified