Hossein Azartash-Namin, D.C.

Individual provider Active NPI Chiropractor · Midwest City, OK

NPI 1124037577 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1124037577
Entity type
Individual (NPI type 1)
Primary specialty
Chiropractor 111N00000X
License
3761 (OK)
Practice address
2905 S Harr Dr
Suite 101
Midwest City, OK 73110-3040
Phone
(405) 455-2368
Fax
(405) 455-2368
NPI assigned
Aug 5, 2006
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
3761OKMDChiropractor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3761 OK Yes

Addresses

Primary practice location

2905 S Harr Dr
Suite 101
Midwest City, OK 73110-3040

Mailing address

2905 S Harr Dr
Suite 101
Midwest City, OK 73110-3040
Phone (405) 455-2368

Other providers in Midwest City, OK

All providers in Midwest City, OK · Chiropractor in Oklahoma

Sources for this page

Verify at the official NPI Registry.