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Next Update: Thursday, December 19, 2024 2:50 AM CST
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HAIDARIAN, MINA
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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: |
PHS
4OO5 HIGH RESORT BLVD
ALBUQUERQUE NM 87124
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| Phone #: |
(505) 462-8147 |
| Fax #: |
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| County: |
NOT OKLAHOMA |
| License: |
18242 |
| Dated: |
9/12/1992 |
| Expires: |
9/1/2005 |
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Training
Issued:
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5/23/1991 |
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Training
Expires:
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9/30/1992 |
| License Type: |
Medical Doctor |
| Specialty: |
Family Medicine |
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| Status: |
Inactive |
| Status Class: |
Expired License |
| Restricted to: |
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| Registered to Dispense: |
YES |
| Medical School: |
Univ Auto De Santo Domingo (Uasd), Fac De Cien Med, Santo Domingo |
| Graduated: |
2 /
1987 |
| CME Year: |
2006 |
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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 FAMILY MEDICINE |
| New Patients: |
Yes |
| Medicaid: |
Yes |
| Medicare: |
Yes |
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| HMO/PPO: |
Aetna HMO
Aetna PPO
United Healthcare HMO
United Healthcare Options PPO |
| Hospital Privileges: |
Hospital(s) Not In Oklahoma
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