Provider Demographics
NPI:1235330523
Name:JAWED, FARHAN (MD)
Entity Type:Individual
Prefix:DR
First Name:FARHAN
Middle Name:
Last Name:JAWED
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1515 TOWER DR STE B
Mailing Address - Street 2:
Mailing Address - City:MOORE
Mailing Address - State:OK
Mailing Address - Zip Code:73160-6181
Mailing Address - Country:US
Mailing Address - Phone:405-310-0836
Mailing Address - Fax:405-758-5354
Practice Address - Street 1:500 E ROBINSON ST STE 600
Practice Address - Street 2:
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73071-6683
Practice Address - Country:US
Practice Address - Phone:405-701-0400
Practice Address - Fax:405-701-0411
Is Sole Proprietor?:No
Enumeration Date:2007-05-31
Last Update Date:2023-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS04-475452084P0800X
MI43010898142084P0800X, 390200000X
OK284892084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program