Individual
MOHAMMAD FAROUQ MADHOUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
825 NE 10TH ST STE 4300, OKLAHOMA CITY, OK 73104-5417
(405) 271-8478
(405) 271-4230
Mailing address
1122 NE 13TH STREET, ORI 274, OKLAHOMA CITY, OK 73117-1039
(405) 271-1515
(405) 271-4230
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
24505
OK
207RG0100X
Gastroenterology Physician
Primary
24505
OK
Other
Enumeration date
02/07/2007
Last updated
05/15/2017
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