Individual
HOUSHANG SERADGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1044 SW 44TH ST, SUITE 518, OKLAHOMA CITY, OK 73109-3613
(405) 634-4263
(405) 634-4267
Mailing address
PO BOX 26706, SECTION 4135, OKLAHOMA CITY, OK 73126-0706
(405) 634-4263
(405) 634-4287
Taxonomy
Speciality
Code
Description
License number
State
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
12474
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
990009843
MEDICARE RAILROAD
OK
Enumeration date
06/20/2005
Last updated
07/14/2014
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