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Oklahoma Board of Medical Licensure and Supervision

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Next Update: Thursday, December 19, 2024 2:50 AM CST

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ALI, MOHAMMAD TARIQ SARFARAZ       
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: NORTHWEST PEDIATRICS
409 EAST CHEROKEE
ENID OK 73701
Phone #:
Fax #:
County: GARFIELD
License: 20120
Dated: 5/13/1997
Expires: 5/1/2000
Training Issued: 5/5/1994
Training Expires: 5/15/1997
License Type: Medical Doctor
Specialty: Pediatrics
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: YES
Medical School: PAKISTAN MEDICAL SCHOOLS
Graduated: 11 / 1989
CME Year: 2001
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 PEDIATRICS
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
NORTHWEST PEDIATRICS
409 EAST CHEROKEE
ENID OK 73701

Phone #:
Fax #:

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