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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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NAEL, SIAVASH
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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: |
15951 LITTLE AXE DRIVE
NORMAN OK 73026
Address last updated on 10/10/2022 |
| Phone #: |
(405) 701-7987 |
| Fax #: |
(405) 701-7998 |
| County: |
OKLAHOMA |
| License: |
12064 |
| Dated: |
12/20/1978 |
| Expires: |
12/1/2025 |
| License Type: |
Medical Doctor |
| Specialty: |
Psychiatry
Pain Medicine |
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| Status: |
Active |
| Status Class: |
Fully Licensed |
| Restricted to: |
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| Registered to Dispense: |
YES |
| Medical School: |
Shiraz Univ Of Med Sci & Hlth Serv, Med Sch, Shiraz, Iran |
| Graduated: |
7 /
1972 |
| CME Year: |
2027 |
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Pending and/or Past Disciplinary Actions:
No Disciplinary Action Taken.
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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: |
AMERICAN BOARD OF PSYCHIATRY AND NEUROLOGY |
| New Patients: |
No |
| Medicaid: |
Yes |
| Medicare: |
Yes |
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| HMO/PPO: |
Blue Cross Blue Shield-Blue Preferred
Blue Cross Blue Shield-Blue Traditional
Blue Cross Blue Shield-Plan 65 Select
BlueChoice PPO
CIGNA PPO
HealthChoice
Humana Medicare Advantage PPO
Humana Tricare/PGBA
OSMA Health (formerly Plico PPO)
PHCS (Private Healthcare Systems)
Railroad Medicare
SoonerCare PPO
Tricare for Life
Tricare Standard |
| Hospital Privileges: |
SSM Health St. Anthony Hospital - OKC
Oklahoma City, OK
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| Locations: |
Hours: |
Languages: |
15951 LITTLE AXE DRIVE
NORMAN OK 73026
Phone #:
(405) 701-7987
Fax #:
(405) 701-7998 |
Mon: 8:00AM - 5:00PM
Tue: 8:00AM - 5:00PM
Wed: 8:00AM - 5:00PM
Thu: 8:00AM - 5:00PM
Fri: 8:00AM - 5:00PM
Sat: CLOSED
Sun: CLOSED |
Farsi |
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