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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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WASAN, SUMAN M
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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: |
UNC REX HEALTHCARE
4414 LAKE BOONE TRAIL
STE 505
RALEIGH NC 27607
Address last updated on 7/4/2023 |
| Phone #: |
(405) 784-2300 x44773 |
| Fax #: |
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| County: |
NOT OKLAHOMA |
| License: |
19450 |
| Dated: |
8/24/1995 |
| Expires: |
8/1/2024 |
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Training
Issued:
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6/16/1994 |
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Training
Expires:
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6/1/1996 |
| License Type: |
Medical Doctor |
| Specialty: |
Internal Medicine
Other Specialty |
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| Status: |
Inactive |
| Status Class: |
Expired License |
| Restricted to: |
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| Registered to Dispense: |
NO |
| Medical School: |
Univ of TX at San Antonio, UTSA Long School of Medicine |
| Graduated: |
5 /
1994 |
| CME Year: |
2024 |
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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 INTERNAL MEDICINE |
| 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
PacifiCare of Oklahoma, Inc
United Healthcare HMO
United Healthcare Options PPO |
| Hospital Privileges: |
Hospital(s) Not In Oklahoma
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