Provider Demographics
NPI:1316907363
Name:ASIN, HENRY M (DPM)
Entity type:Individual
Prefix:DR
First Name:HENRY
Middle Name:M
Last Name:ASIN
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5401 N. PORTLAND AVE.
Mailing Address - Street 2:SUITE 395
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73112-2089
Mailing Address - Country:US
Mailing Address - Phone:405-947-8041
Mailing Address - Fax:405-947-8043
Practice Address - Street 1:5401 N PORTLAND AVE
Practice Address - Street 2:SUITE 395
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73112-2082
Practice Address - Country:US
Practice Address - Phone:405-947-8041
Practice Address - Fax:405-947-8043
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK89213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK730742114-001OtherBLUE CROSS BLUE SHIELD OF
OKT40733Medicare UPIN
OK730742114-001OtherBLUE CROSS BLUE SHIELD OF