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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Saturday, December 21, 2024 3:49 AM CST
Next Update: Saturday, December 21, 2024 12:00 PM CST

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KHAN, SHAHNAWAZ AHMED       
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: 2533 AUGUSTINE HERMAN HWY
SUITE# A
CHESAPEAKE CITY MD 21915

Address last updated on 7/5/2023
Phone #: (410) 885-5018
Fax #: (410) 885-5026
County: NOT OKLAHOMA
License: 22462
Dated: 7/1/2004
Expires: 7/1/2024
License Type: Medical Doctor
Specialty: Family Medicine
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Ross Univ, Sch of Med, Roseau, Dominica
Graduated: 4 / 2001
CME Year: 2025
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 FAMILY MEDICINE
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: Aetna HMO
Aetna PPO
Blue Cross Blue Shield-Blue Preferred
Blue Cross Blue Shield-Blue Traditional
Blue Cross Blue Shield-Plan 65 Select
BlueChoice PPO
HealthChoice
Heartland Health Plan of Oklahoma
PacifiCare of Oklahoma, Inc
SoonerCare HMO
Hospital Privileges: Holdenville General Hospital
Holdenville, OK
Hospital(s) Not In Oklahoma
,
SSM Health St. Anthony Hospital - Seminole (fmly Seminole Med Ctr)
Seminole, OK
Locations: Hours: Languages:
2533 AUGUSTINE HERMAN HWY
SUITE# A
CHESAPEAKE CITY MD 21915

Phone #: (410) 885-5018
Fax #: (410) 885-5026
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
266 south college Ave
Newark, DE 19808

Phone #: (000) 000-0000 x00000
Fax #: (4) 201-
Mon:
Tue:
Wed: 3:00PM - 6:00PM
Thu:
Fri:
Sat: 3:00PM - 6:00PM
Sun:
Hindi

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