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CHAHIN, EDWARD R       
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: CARL ALBERT INDIAN HOSPITAL
1001 N COUNTRY CLUB ROAD
ADA OK 74820-2599
Phone #: (580) 436-3980
Fax #: (580) 332-0800
County: PONTOTOC
License: 21930
Dated: 1/9/2001
Expires: 1/1/2009
License Type: Medical Doctor
Specialty: General Surgery
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Univ Nac De Colombia, Fac De Med, Bogota, Colombia
Graduated: 11 / 1955
CME Year: 2010
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:
CARL ALBERT INDIAN HOSPITAL
1001 N COUNTRY CLUB ROAD
ADA OK 74820-2599

Phone #: (580) 436-3980
Fax #: (580) 332-0800

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