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Last Update: Wednesday, December 18, 2024 6:43 PM CST
Next Update: Thursday, December 19, 2024 2:50 AM CST
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BASTA, MERVAT MARCOS
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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: |
2081 SANTA FE DRIVE
BULLHEAD CITY AZ 86442-8703
Address last updated on 5/7/2024 |
| Phone #: |
(928) 201-6109 |
| Fax #: |
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| County: |
NOT OKLAHOMA |
| License: |
18472 |
| Dated: |
7/1/1993 |
| Expires: |
7/1/2025 |
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Training
Issued:
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7/2/1992 |
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Training
Expires:
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6/30/1993 |
| License Type: |
Medical Doctor |
| Specialty: |
Anesthesiology |
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| Status: |
Active |
| Status Class: |
Fully Licensed |
| Restricted to: |
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| Registered to Dispense: |
NO |
| Medical School: |
KASR EL AINI FAC MED CAIRO UNIV, CAIRO (915-02 AFTER 1/1971) |
| Graduated: |
11 /
1980 |
| CME Year: |
2027 |
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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 ANESTHESIOLOGY |
| New Patients: |
Yes |
| Medicaid: |
Yes |
| Medicare: |
Yes |
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| HMO/PPO: |
Aetna HMO
Aetna PPO
BlueChoice PPO
BlueLincs HMO
CommunityCare HMO, Inc
HealthChoice
Heartland Health Plan of Oklahoma
PacifiCare of Oklahoma, Inc
Preferred Community Choice
Prime Advantage Health Plan
Prudential Health Care Plan, Inc
UniCare Health Plans of Oklahoma
United Healthcare HMO
United Healthcare Options PPO
Welcor/Sooner |
| Hospital Privileges: |
Hospital(s) Not In Oklahoma
,
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| Locations: |
Hours: |
Languages: |
2081 SANTA FE DRIVE
BULLHEAD CITY AZ 86442-8703
Phone #:
(928) 201-6109
Fax #:
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Mon: 7:30AM - 5:00PM
Tue: 7:30AM - 5:00PM
Wed: 7:30AM - 5:00PM
Thu: 7:30AM - 5:00PM
Fri: 7:30AM - 5:00PM
Sat:
Sun: 7:00AM - 5:00PM |
Arabic |
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