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HABJ-BIK, YNAL       
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: 705 HAMBURG TPK
WAYNE NJ 07470

Address last updated on 10/24/2016
Phone #: (580) 229-6333
Fax #:
County: NOT OKLAHOMA
License: 20914
Dated: 9/24/1998
Expires: 9/1/2018
License Type: Medical Doctor
Specialty: Family Medicine
Internal Medicine
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: YES
Medical School: UNIV OF DAMASCUS, FAC OF MED, DAMASCUS, SYRIA
Graduated: 10 / 1979
CME Year: 2019
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:
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: Aetna PPO
BlueChoice PPO
HealthChoice
Preferred Community Choice
United Healthcare Options PPO
Welcor/Sooner
Hospital Privileges: Mercy Hospital Healdton (fmly Healdton Municipal)
Healdton, OK
Locations: Hours: Languages:
705 HAMBURG TPK
WAYNE NJ 07470

Phone #: (580) 229-6333
Fax #:
Mon: 8:00AM - 5:00PM
Tue: 8:00AM - 5:00PM
Wed: 8:00AM - 5:00PM
Thu: 8:00AM - 5:00PM
Fri: 8:00AM - 5:00PM
Sat:
Sun:

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