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Last Update: Friday, December 20, 2024 6:44 PM CST
Next Update: Saturday, December 21, 2024 2:50 AM CST
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REZAEI, ABOLGHASEM
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This verification service provides current data extracted by the Oklahoma State Board of Medical Licensure and Supervision (OSBMLS) from its own database. The data enclosed in the green box below is provided by and controlled entirely by the OSBMLS and therefore constitutes a primary source verification of licensure status as authentic as a direct inquiry to the OSBMLS. NPI# and hospital privileges (if any) are provided by the licensee and not verified.
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| Practice Address: |
4121 W. GORE BLVD
LAWTON OK 73505
Address last updated on 5/3/2024 |
| Phone #: |
(580) 699-5511 |
| Fax #: |
(580) 699-5519 |
| County: |
COMANCHE |
| License: |
23655 |
| Dated: |
12/1/2005 |
| Expires: |
12/1/2025 |
| License Type: |
Medical Doctor |
| Specialty: |
Family Medicine |
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| Status: |
Active |
| Status Class: |
Fully Licensed |
| Restricted to: |
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| Registered to Dispense: |
YES |
| Medical School: |
Univ Di Pavia, Fac Di Med E Chirurgia, Pavia, Italy |
| Graduated: |
7 /
1995 |
| CME Year: |
2026 |
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Pending and/or Past Disciplinary Actions:
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| Date |
Action |
Reasons |
Remarks |
| 4/14/2022 |
Dismissed |
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| 2/16/2022 |
Motion to Enforce |
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| 12/9/2020 |
License Reinstated |
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| 3/24/2020 |
Suspension, License |
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| 4/30/2019 |
Complaint Citation |
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| 6/30/2017 |
Agreement |
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| 6/30/2017 |
Probation Ended |
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| 9/12/2013 |
Probation |
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| 6/14/2013 |
Complaint Citation |
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Board Filings and/or Orders:
04/14/2022
02/16/2022
12/10/2020
03/24/2020
12/19/2019
10/23/2019
04/30/2019
04/30/2019
07/07/2017
09/12/2013
07/11/2013
06/14/2013
06/14/2013
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All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
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| Certifications: |
ABPS - Family Medicine |
| New Patients: |
Yes |
| Medicaid: |
No |
| Medicare: |
No |
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| HMO/PPO: |
Aetna Elect Choice
Aetna HMO
Aetna Managed Choice
Aetna PPO
AmCare Health Plans of Oklahoma, Inc (formerly Foundation Health)
BCE Emergis
Beechstreet PPO
Blue Cross Blue Shield-Blue Preferred
Blue Cross Blue Shield-Blue Traditional
Blue Cross Blue Shield-Plan 65 Select
BlueChoice PPO
BlueLincs HMO
CCN Managed Care
Champ VA
CIGNA HMO
CIGNA PPO
CommunityCare HMO, Inc
CommunityCare Senior HMO
CompMed
Coventry Health Care National Network
Evolutions Healthcare
First Health
Focus Healthcare
Galaxy Health Network
Global Health HMO
Great West Healthcare
Guidestar Health Systems
Health Smart Preferred Care (HSPC)
HealthChoice
Heartland Health Plan of Oklahoma
Multiplan PPO
National Preferred Provider Network (NPPN)
Oklahoma Health Network PPO
One Health Plan PPO
OSMA Health (formerly Plico PPO)
Pacificare Commercial HMO
PacifiCare of Oklahoma, Inc
Perfect Harmony HMO
PHCS (Private Healthcare Systems)
Physicians Direct Network
PPO Oklahoma
PPO USA
Preferred Community Choice
Preferred Health Network-ppoNEXT
Prime Advantage Health Plan
Private Healthcare Systems (PHCS)
Pronet
Prudential Health Care Plan, Inc
Secure Horizons HMO
SoonerCare PPO
Sparks Premiercare
Tricare for Life
Tricare Standard
Tyson Preferred Network (TPN)
UniCare Health Plans of Oklahoma
United Healthcare Choice
United Healthcare EPO
United Healthcare HMO
United Healthcare Options PPO
United Healthcare POS
United Insurance
USA Managed Care
Worknet of Oklahoma |
| Hospital Privileges: |
None listed |
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| Locations: |
Hours: |
Languages: |
4121 W. GORE BLVD
LAWTON OK 73505
Phone #:
(580) 699-5511
Fax #:
(580) 699-5519 |
Mon: 9:00AM - 7:00PM
Tue: 9:00AM - 7:00PM
Wed: 9:00AM - 7:00PM
Thu: 9:00AM - 7:00PM
Fri: 9:00AM - 7:00PM
Sat: 9:00AM - 7:00PM
Sun: 12:00AM - 5:00PM ON CALL |
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