Provider Demographics
NPI:1861694614
Name:MAAROUF, HODA HUSSEIN (MD)
Entity type:Individual
Prefix:
First Name:HODA
Middle Name:HUSSEIN
Last Name:MAAROUF
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3435 NW 56TH ST STE 404
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73112-4414
Mailing Address - Country:US
Mailing Address - Phone:405-946-4735
Mailing Address - Fax:405-946-4874
Practice Address - Street 1:3435 NW 56TH ST STE 404
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73112-4414
Practice Address - Country:US
Practice Address - Phone:405-946-4735
Practice Address - Fax:405-946-4874
Is Sole Proprietor?:No
Enumeration Date:2007-06-04
Last Update Date:2008-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0116016249207VX0000X
OK26550207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No207VX0000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyObstetrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK200204790AMedicaid