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Oklahoma Board of Medical Licensure and Supervision

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Next Update: Thursday, December 19, 2024 2:50 AM CST

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IQBAL, AMJAD       
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: 4240 MUNSON RD
SUITE B
CANTON OH 44718

Address last updated on 4/1/2010
Phone #: (330) 491-8000
Fax #: (918) 491-8009
County: NOT OKLAHOMA
License: 17217
Dated: 4/13/1990
Expires: 4/1/2011
Temp. Lic. Issued: 3/22/1990
Temp. Lic. Expires: 5/19/1990
License Type: Medical Doctor
Specialty: Cardiovascular Disease
Internal Medicine
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: UNIV OF LOUISVILLE SCH OF MED, LOUISVILLE KY 40202
Graduated: 5 / 1983
CME Year: 2013
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: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: Aetna HMO
Aetna PPO
BlueChoice PPO
CommunityCare HMO, Inc
HealthChoice
PacifiCare of Oklahoma, Inc
Preferred Community Choice
United Healthcare HMO
United Healthcare Options PPO
Hospital Privileges: None listed
Locations: Hours: Languages:
4240 MUNSON RD
SUITE B
CANTON OH 44718

Phone #: (330) 491-8000
Fax #: (918) 491-8009
Mon:
Tue: 8:00AM - 5:00PM
Wed: 8:00AM - 5:00PM
Thu: 8:00AM - 5:00PM
Fri: 8:00AM - 5:00PM
Sat:
Sun: 8:00AM - 5:00PM

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