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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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NASR, FAYSAL LOUTFALLAH       
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: 4200 W. MEMORIAL RD. #401
OKLAHOMA CITY OK 73120-8345

Address last updated on 6/10/2024
Phone #: (405) 755-7676
Fax #:
County: OKLAHOMA
License: 11878
Dated: 7/27/1978
Expires: 7/1/2025
License Type: Medical Doctor
Specialty: Family Medicine
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: American Univ Of Beirut, Fac Of Med, Beirut, Lebanon
Graduated: 6 / 1971
CME Year: 2027
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 FAMILY MEDICINE
New Patients: Yes
Medicaid: No
Medicare: Yes
   
HMO/PPO: HealthChoice
OSMA Health (formerly Plico PPO)
Hospital Privileges: Mercy Hospital OKC
Oklahoma City, OK
Oklahoma Heart Hospital - North Campus (4050 W. Memorial Rd)
Oklahoma City, OK
Locations: Hours: Languages:
4200 W. MEMORIAL RD. #401
OKLAHOMA CITY OK 73120-8345

Phone #: (405) 755-7676
Fax #:
Mon: 8:30AM - 5:30PM
Tue: 8:30AM - 5:30PM
Wed: 8:30AM - 5:30PM
Thu: 8:30AM - 5:30PM
Fri:
Sat:
Sun:

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