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KEDDISSI, JEAN I.
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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: |
800 STANTON L. YOUNG BLVD
SUITE 8400
OKLAHOMA CITY OK 73104
Address last updated on 1/30/2023 |
| Phone #: |
(405) 271-6173 |
| Fax #: |
(405) 271-5892 |
| County: |
OKLAHOMA |
| License: |
20091 |
| Dated: |
3/7/1997 |
| Expires: |
3/1/2025 |
| License Type: |
Medical Doctor |
| Specialty: |
Critical Care Medicine (Internal Medicine)
Pulmonary Disease
Internal Medicine |
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| Status: |
Active |
| Status Class: |
Fully Licensed |
| Restricted to: |
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| Registered to Dispense: |
NO |
| Medical School: |
St Joseph's Univ, Fac Of Med, Beirut, Lebanon |
| Graduated: |
6 /
1993 |
| CME Year: |
2025 |
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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 - Critical Care Medicine
AMERICAN BOARD OF INTERNAL MEDICINE - Pulmonary Disease |
| New Patients: |
Yes |
| Medicaid: |
Yes |
| Medicare: |
Yes |
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| HMO/PPO: |
None listed |
| Hospital Privileges: |
OU Health Medical Center
Oklahoma City, OK
V.A. Medical Center-OKC
Oklahoma City, OK
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