Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207P00000X | Emergency Physician | 31362 | OK |
N | 207QA0401X | Family Doctor - Addiction Medicine | 31362 | OK |
N | 207QA0505X | Family Doctor - Adult Medicine | 31362 | OK |
N | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | 31362 | OK |
Y | 208800000X | Urologist | 31362 | OK |
N | 208D00000X | General Practice Physician | 31362 | OK |
NPI | 1811374770 |
---|---|
Provider Name | Dr. Sarfraz Ahmed |
First Address | Edmond, OK 73012-4452 |
Second Address | Edmond, OK 73012-4452 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/04/2015 |
Last Update Date | 29/04/2015 |