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GHANNOUM, HAYSAM       
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: GREATER BALTIMORE MEDICAL CENTER HOSPITALIST
6701 NORTH CHARLES STREET
BALTIMORE MD 21204

Address last updated on 8/25/2010
Phone #:
Fax #:
County: NOT OKLAHOMA
License: 21933
Dated: 9/16/2002
Expires: 9/1/2011
License Type: Medical Doctor
Specialty: Internal Medicine
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Ross Univ, Sch of Med, Roseau, Dominica
Graduated: 6 / 1999
CME Year: 2011
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 INTERNAL MEDICINE
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: Hillcrest Hospital South (fmly SouthCrest)
Tulsa, OK
Hillcrest Medical Center
Tulsa, OK
Hospital(s) Not In Oklahoma
,
Oklahoma Surgical Hospital (formerly Orthopedic Hospital of Oklahoma)
Tulsa, OK
Select Specialty Hospital
Tulsa, OK
Southwestern Regional Medical Center
Tulsa, OK
Locations: Hours: Languages:
GREATER BALTIMORE MEDICAL CENTER HOSPITALIST
6701 NORTH CHARLES STREET
BALTIMORE MD 21204

Phone #:
Fax #:
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