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Oklahoma Board of Medical Licensure and Supervision

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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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NGUYEN, MAI HOANG       
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: 4502 EAST 41ST STREET
TULSA OK 74135-2553
Phone #:
Fax #: (918) 660-3517
County: TULSA
License: 21191
Dated: 7/1/1999
Expires: 7/1/2001
Training Issued: 7/1/1997
Training Expires: 7/1/2000
License Type: Medical Doctor
Specialty: Psychiatry
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: YES
Medical School: SOUTH VIET-NAM MEDICAL SCHOOLS
Graduated: 7 / 1973
CME Year: 2002
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: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
4502 EAST 41ST STREET
TULSA OK 74135-2553

Phone #:
Fax #: (918) 660-3517

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