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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Sunday, December 22, 2024 6:44 PM CST
Next Update: Monday, December 23, 2024 2:50 AM CST

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NGUYEN, LONG THANH       
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: 10828 ORLEANS CT
OKC OK 73170

Address last updated on 2/28/2024
Phone #: (405) 503-3144
Fax #:
County: CLEVELAND
License: 20102
Dated: 3/14/1997
Expires: 3/1/2025
Training Issued: 7/15/1995
Training Expires: 8/1/1997
License Type: Medical Doctor
Specialty: Internal Medicine
Emergency Medicine
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduated: 6 / 1995
CME Year: 2025
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: ABPS - Internal Medicine
AMERICAN BOARD OF INTERNAL MEDICINE
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: SSM St Anthony Midwest Regional Medical Center
Midwest City, OK
Locations: Hours: Languages:
10828 ORLEANS CT
OKC OK 73170

Phone #: (405) 503-3144
Fax #:
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
KATE GRIMM APRN 852
MARIAH HARMON APRN 4825
OLUDARI OLAJIDE APRN 113962
SHAY SUROWIAK APRN 81960
RACHEL BREANNE TOMLIN PA 2421
DEBORAH TRUITT APRN 853

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