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Oklahoma Board of Medical Licensure and Supervision

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PHAM, RANDAL TANH HOANG       
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: 455 O'CONNOR DRIVE
SUITE 180
SAN JOSE CA 95128

Address last updated on 8/11/2004
Phone #:
Fax #:
County: NOT OKLAHOMA
License: 18534
Dated: 7/1/1993
Expires: 7/1/1999
License Type: Medical Doctor
Specialty: Ophthalmology
Other Specialty
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of CA, San Francisco, Sch Of Med, San Francisco CA 94143
Graduated: 6 / 1988
CME Year:
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 OPHTHALMOLOGY
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
455 O'CONNOR DRIVE
SUITE 180
SAN JOSE CA 95128

Phone #:
Fax #:

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