| Faisal Wasi Md, Pc | |
|
333 S 38th St Ste A Muskogee OK 74401-4937 | |
| (918) 910-5391 | |
| (918) 910-5219 |
| Full Name | Faisal Wasi Md, Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 333 S 38th St Ste A, Muskogee, Oklahoma |
| Authorized Official Name and Position | Faisal Wasi (PHYSICIAN/OWNER) |
| Authorized Official Contact | 9188728822 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Faisal Wasi Md, Pc Po Box 488 Muskogee OK 74402-0488 Ph: (918) 910-5391 | Faisal Wasi Md, Pc 333 S 38th St Ste A Muskogee OK 74401-4937 Ph: (918) 910-5391 |
| NPI Number | 1265757827 |
|---|---|
| Provider Enumeration Date | 04/07/2010 |
| Last Update Date | 07/11/2024 |
| Medicare PECOS PAC ID | 1557493228 |
|---|---|
| Medicare Enrollment ID | O20100715000330 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265757827 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
| Provider Name | Faisal Wasi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689672263 PECOS PAC ID: 1557330412 Enrollment ID: I20040928000317 |
| Provider Name | Jahangir Khan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265590889 PECOS PAC ID: 8123069630 Enrollment ID: I20050516000235 |
| Provider Name | Shelly D Mansker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639436348 PECOS PAC ID: 4082864715 Enrollment ID: I20121015000631 |
| Provider Name | Bruce Alan Peixotto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770821134 PECOS PAC ID: 7911146311 Enrollment ID: I20130614000564 |
| Provider Name | Augustina Agadagba |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205179561 PECOS PAC ID: 8527201557 Enrollment ID: I20130823000563 |
| Provider Name | Priyanka Reddy Gudoor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174936892 PECOS PAC ID: 4587953831 Enrollment ID: I20170815003417 |
| Provider Name | Kimberly Hedrick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609379056 PECOS PAC ID: 3375890833 Enrollment ID: I20180716002388 |
| Provider Name | Amy Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699260471 PECOS PAC ID: 1355692823 Enrollment ID: I20180921001459 |
| Provider Name | Sara Hart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497319297 PECOS PAC ID: 3779814199 Enrollment ID: I20191015003023 |
| Provider Name | Kelley Maria Hood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184291767 PECOS PAC ID: 7618365453 Enrollment ID: I20211027000593 |
| Provider Name | Megan Nicole Mangel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467041020 PECOS PAC ID: 2365830106 Enrollment ID: I20211027001028 |
| Provider Name | Amelia Ruth Hawkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336739291 PECOS PAC ID: 4082005574 Enrollment ID: I20211216001231 |
| Provider Name | Lani Marie Van Schuyver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336892819 PECOS PAC ID: 4981077740 Enrollment ID: I20230227002241 |
| Provider Name | Chandler May White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578261939 PECOS PAC ID: 4880067081 Enrollment ID: I20230309001666 |
| Provider Name | Winter Rose Carson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447031596 PECOS PAC ID: 2365984093 Enrollment ID: I20240610000319 |
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