Kamron Manouchehr Fakhrshafaei
Case Manager/Care Coordinator in Thomas, OK. Individual provider (NPI-1).
NPI number1053010488
StatusActive
Last updated in NPPESFeb 24, 2023
Details
- NPI
- 1053010488
- Entity type
- Individual (NPI-1)
- Name
- Kamron Manouchehr Fakhrshafaei
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 24, 2023
- Certification date
- Feb 22, 2023
- Last updated
- Feb 24, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | – | Yes |
Practice location
120 W. BroadwayThomas, OK 73669
Phone 580-661-3488 · Fax 580-661-3488
Mailing address
11520 Cedar Valley DrOklahoma City, OK 73170
Phone 405-761-5575
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Case Manager/Care Coordinator providers in Thomas, OK
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All 6 Case Manager/Care Coordinator providers in Thomas · All 50 providers in Thomas
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