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Individual

FARIS AMIL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
17217 WHIMBREL LN, EDMOND, OK 73012-8412
(405) 795-9167
Mailing address
17217 WHIMBREL LN, EDMOND, OK 73012-8412
(405) 795-9167

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
342110
NY
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
11/01/2021
Last updated
03/01/2026
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