Individual
MR. ARDESHIR FAGHIH NIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1211 E LINCOLN RD, IDABEL, OK 74745-7342
(580) 286-4300
(580) 286-5530
Mailing address
1211 E LINCOLN RD, IDABEL, OK 74745-7342
(580) 286-4300
(580) 286-5530
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
24784
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00756955
RAILROAD
OK
Enumeration date
07/14/2006
Last updated
06/02/2014
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