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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Thursday, December 19, 2024 3:44 AM CST
Next Update: Thursday, December 19, 2024 12:00 PM CST

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LUONG, PHUNG KIM       
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: 5400 N. GRAND BLVD.
SUITE 260
OKLAHOMA CITY OK 73112

Address last updated on 6/27/2024
Phone #: (405) 361-6856
Fax #: (405) 231-8957
County: OKLAHOMA
License: 16922
Dated: 7/1/1989
Expires: 7/1/2025
License Type: Medical Doctor
Specialty: Radiology
Family Medicine
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduated: 5 / 1988
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 RADIOLOGY (Diagnostic Radiology specific)
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: BlueChoice PPO
HealthChoice
Heartland Health Plan of Oklahoma
PacifiCare of Oklahoma, Inc
Preferred Community Choice
Hospital Privileges: HEALTHSOUTH Rehabilitation Hospital of OKC
Oklahoma City, OK
Integrated Specialty Hospital-Edmond
Edmond, OK
Kindred Hospital-Oklahoma City
Oklahoma City, OK
Oklahoma Spine Hospital
Oklahoma City, OK
SSM Health Bone and Joint Hospital at St. Anthony
Oklahoma City, OK
SSM Health St. Anthony Hospital - OKC
Oklahoma City, OK
SSM Health St. Anthony Shawnee Hospital (fmly Unity Health Ctr)
Shawnee, OK
Locations: Hours: Languages:
5400 N. GRAND BLVD.
SUITE 260
OKLAHOMA CITY OK 73112

Phone #: (405) 361-6856
Fax #: (405) 231-8957
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:

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