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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Monday, December 23, 2024 3:49 AM CST
Next Update: Monday, December 23, 2024 12:00 PM CST

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KHORASANCHIAN, ABDOLKARIM       
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: 1101 WADE WATTS AVE
MCALESTER OK 74501-5625

Address last updated on 4/3/2024
Phone #: (918) 426-4900
Fax #:
County: PITTSBURG
License: 12251
Dated: 5/30/1979
Expires: 5/1/2025
License Type: Medical Doctor
Specialty: Internal Medicine
Cardiovascular Disease
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: Tabriz Univ of Med Sci & Hlth Serv, Fac Of Med, Tabriz, Iran
Graduated: 6 / 1971
CME Year: 2025
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
AMERICAN BOARD OF INTERNAL MEDICINE - Cardiovascular Disease
New Patients: No
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: Aetna PPO
BlueChoice PPO
HealthChoice
Preferred Community Choice
United Healthcare Options PPO
Hospital Privileges: McAlester Regional Health Center
McAlester, OK
Locations: Hours: Languages:
1101 WADE WATTS AVE
MCALESTER OK 74501-5625

Phone #: (918) 426-4900
Fax #:
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun: 1:00AM - 0:00PM
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
LARRY LEON BURNS JR PA 2920
SUSAN L DAVIS PA 533
KIMBERLY ANNE ELROD PA 1694

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