Provider Demographics
NPI:1336459726
Name:CENTRAL OKLAHOMA HEMATOLOGY-ONCOLOGY GROUP PLLC
Entity Type:Organization
Organization Name:CENTRAL OKLAHOMA HEMATOLOGY-ONCOLOGY GROUP PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KHADER
Authorized Official - Middle Name:
Authorized Official - Last Name:HUSSEIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:918405-631-0919
Mailing Address - Street 1:4301 S WESTERN AVE
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73109-3411
Mailing Address - Country:US
Mailing Address - Phone:918-405-6310
Mailing Address - Fax:405-636-0518
Practice Address - Street 1:4301 S WESTERN AVE
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73109-3411
Practice Address - Country:US
Practice Address - Phone:918-405-6310
Practice Address - Fax:405-636-0518
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-19
Last Update Date:2010-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & OncologyGroup - Multi-Specialty