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KHALIFA, MAHMOUD ABDEL-FATTAH       
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: LAB MEDICINE AND PATHOLOGY UNIV OF MINNESOTA
C446-1 MAYO MEMORIAL BUILDING MAIL CODE 76
420 DELAWARE STREET SE
MINNEAPOLIS MN 55455

Address last updated on 5/17/2018
Phone #: (612) 273-3668
Fax #: (612) 273-1142
County: NOT OKLAHOMA
License: 17675
Dated: 7/1/1991
Expires: 7/1/2018
Training Issued: 6/8/1990
Training Expires: 7/1/1991
License Type: Medical Doctor
Specialty: Anatomic Pathology
Other Specialty
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Ain Shams Univ, Fac Of Med, Abbasia, Cairo, Egypt (330-04 Pr 1/71)
Graduated: 12 / 1978
CME Year: 2018
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 PATHOLOGY
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: Hospital(s) Not In Oklahoma
,
SSM Health St. Anthony Shawnee Hospital (fmly Unity Health Ctr)
Shawnee, OK
Locations: Hours: Languages:
LAB MEDICINE AND PATHOLOGY UNIV OF MINNESOTA
C446-1 MAYO MEMORIAL BUILDING MAIL CODE 76
420 DELAWARE STREET SE
MINNEAPOLIS MN 55455

Phone #: (612) 273-3668
Fax #: (612) 273-1142
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:

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