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Individual

YASHAR YOUSEF FARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD/MPH

Contact information

Practice address
920 STANTON L YOUNG BLVD, OKLAHOMA CITY, OK 73104-5036
(405) 271-4219
Mailing address
101 NICOLLS RD RM 10-041L, STONY BROOK, NY 11794-0001

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
036174096
IL
2084P0800X
Psychiatry Physician
P10813
NY
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
41137
OK
2084P0804X
Child & Adolescent Psychiatry Physician
85335
WI
208D00000X
General Practice Physician
P10813
NY

Other

Enumeration date
10/22/2018
Last updated
03/17/2026
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