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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Wednesday, December 18, 2024 6:43 PM CST
Next Update: Thursday, December 19, 2024 2:50 AM CST

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KANAA, MOHAMED FAROUK       
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.
Practice Address: 4404 ST GREGORY DR
OKLAHOMA CITY OK 73120-9368

Address last updated on 12/17/2023
Phone #: (405) 401-0699
Fax #:
County: OKLAHOMA
License: 10421
Dated: 2/5/1975
Expires: 2/1/2026
License Type: Medical Doctor
Specialty: Medical Oncology
Internal Medicine
Hematology (Internal Medicine)
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: SYRIA MEDICAL SCHOOLS
Graduated: / 1972
CME Year: 2028
Pending and/or Past Disciplinary Actions: No Disciplinary Action Taken.
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Certifications: AMERICAN BOARD OF INTERNAL MEDICINE
New Patients: No
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: Aetna HMO
Aetna PPO
BlueChoice PPO
BlueLincs HMO
CIGNA HMO
CIGNA PPO
CommunityCare HMO, Inc
HealthChoice
PacifiCare of Oklahoma, Inc
Preferred Community Choice
Prudential Health Care Plan, Inc
SoonerCare PPO
UniCare Health Plans of Oklahoma
United Healthcare Options PPO
Hospital Privileges: INTEGRIS Baptist Portland Ave (fmly Deaconess Hospital)
Oklahoma City, OK
Mercy Hospital OKC
Oklahoma City, OK
Locations: Hours: Languages:
4404 ST GREGORY DR
OKLAHOMA CITY OK 73120-9368

Phone #: (405) 401-0699
Fax #:
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:

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