Individual
SHASHI A HUSAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1145 S UTICA AVE, SUITE 520, TULSA, OK 74104-4000
(918) 587-5534
(918) 587-5610
Mailing address
PO BOX 21228, DEPT 144, TULSA, OK 74121-1228
(918) 587-5534
(918) 587-5610
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
13418
OK
2084N0400X
Neurology Physician
13418
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100248550B
—
OK
01
—
731192479
COMMERICAL
OK
01
—
731192479001
BLUE CROSS BLUE SHIELD
OK
01
—
731192479002
TRICARE
OK
01
—
P00637428
RAILROAD MCARE THRU NSO
OK
Enumeration date
06/14/2006
Last updated
01/05/2009
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