| Integris Mental Health Physicians | |
|
5100 N Brookline Ave Ste 950 Oklahoma City OK 73112-3623 | |
| (405) 717-9800 | |
| (405) 942-4790 |
| Full Name | Integris Mental Health Physicians |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 5100 N Brookline Ave, Oklahoma City, Oklahoma |
| Authorized Official Name and Position | Greg Meyers (V P INTEGRITY REVENUE) |
| Authorized Official Contact | 4059493774 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Integris Mental Health Physicians 5300 N Independence Ave Ste 280 Oklahoma City OK 73112-5556 Ph: (405) 951-8671 | Integris Mental Health Physicians 5100 N Brookline Ave Ste 950 Oklahoma City OK 73112-3623 Ph: (405) 717-9800 |
| NPI Number | 1780963330 |
|---|---|
| Provider Enumeration Date | 08/15/2011 |
| Last Update Date | 06/03/2014 |
| Medicare PECOS PAC ID | 8820999089 |
|---|---|
| Medicare Enrollment ID | O20040120000358 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780963330 | NPI | - | NPPES |
| 100806400F | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Hashib D Faruque |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1225006570 PECOS PAC ID: 2365347069 Enrollment ID: I20031205000072 |
| Provider Name | Jeffrey M Asbury |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1528062551 PECOS PAC ID: 2062483746 Enrollment ID: I20040805000025 |
| Provider Name | Robert M Clark |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1174528525 PECOS PAC ID: 7113988841 Enrollment ID: I20041025001208 |
| Provider Name | Gayathri Dasharathy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801966338 PECOS PAC ID: 1557441318 Enrollment ID: I20080107000055 |
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