Provider Demographics
NPI:1265757827
Name:FAISAL WASI MD, PC
Entity type:Organization
Organization Name:FAISAL WASI MD, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:FAISAL
Authorized Official - Middle Name:
Authorized Official - Last Name:WASI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:918-872-8822
Mailing Address - Street 1:PO BOX 488
Mailing Address - Street 2:
Mailing Address - City:MUSKOGEE
Mailing Address - State:OK
Mailing Address - Zip Code:74402-0488
Mailing Address - Country:US
Mailing Address - Phone:918-910-5391
Mailing Address - Fax:918-910-5219
Practice Address - Street 1:333 S 38TH ST STE A
Practice Address - Street 2:
Practice Address - City:MUSKOGEE
Practice Address - State:OK
Practice Address - Zip Code:74401-4937
Practice Address - Country:US
Practice Address - Phone:918-910-5391
Practice Address - Fax:918-910-5219
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-07
Last Update Date:2024-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious DiseaseGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty