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Contact Information

MASOOD GHOUSE
430 N MONTE VISTA ST
ADA, OK74820-4610
 Phone: 580-421-1141
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hematology & Oncology

207RH0003X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for MASOOD GHOUSE · (Male)

NPI Number 1215120928
Status Active
Credentials
Entity Individual
Enumeration date 08/26/2007
Last updated 08/13/2025 - About 10 months ago
Sole proprietor 1 No
Identifiers
  • IL License # 036129177
  • OK License # 8789
  • IL Medicaid 036129177
  • IL Other F400194061 MEDICARE PTAN
Hospital affiliation(s)
  • FRANCISCAN ST JAMES HEALTH - (Acute Care)
    20201 S CRAWFORD AVENUE
    OLYMPIA FIELDS, IL 60461
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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