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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Sunday, December 22, 2024 6:44 PM CST
Next Update: Monday, December 23, 2024 2:50 AM CST

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SIRAJUDDIN, RIAZ 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: 10413 GREENBRIAR PARKWAY
OKLAHOMA CITY OK 73159

Address last updated on 2/8/2024
Phone #: (405) 691-4665
Fax #: (405) 378-7628
County: OKLAHOMA
License: 22726
Dated: 3/13/2002
Expires: 3/1/2025
License Type: Medical Doctor
Specialty: Cardiovascular Disease
Internal Medicine
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: IN Univ Sch Of Med, Indianapolis In 46202
Graduated: 5 / 1995
CME Year: 2026
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
AMERICAN BOARD OF INTERNAL MEDICINE - Cardiovascular Disease
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: Aetna PPO
Blue Cross Blue Shield-Blue Preferred
Blue Cross Blue Shield-Blue Traditional
Blue Cross Blue Shield-Plan 65 Select
BlueChoice PPO
BlueLincs HMO
Champ VA
CIGNA PPO
CommunityCare HMO, Inc
Coventry Health Care National Network
First Health
HealthChoice
Medicare Blue
PacifiCare of Oklahoma, Inc
Preferred Community Choice
Railroad Medicare
United Healthcare HMO
United Healthcare Options PPO
Hospital Privileges: Oklahoma Heart Hospital - North Campus (4050 W. Memorial Rd)
Oklahoma City, OK
Oklahoma Heart Hospital - South Campus (5200 I-240 Service Rd)
Oklahoma City, OK
SSM Health St. Anthony Hospital - OKC
Oklahoma City, OK
Locations: Hours: Languages:
10413 GREENBRIAR PARKWAY
OKLAHOMA CITY OK 73159

Phone #: (405) 691-4665
Fax #: (405) 378-7628
Mon: 7:30AM - 4:30PM
Tue: 7:30AM - 4:30PM
Wed: 7:30AM - 4:30PM
Thu: 7:30AM - 4:30PM
Fri: 7:30AM - 12:30PM
Sat:
Sun:
Hindi
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
KENDEL NICOLE BENNETT PA 4483
JEFFREY DONOVAN MARTENS PA 704
HOLLY MARK MAX PA 4569
CHARLSIE RECORD APRN 104700
GRACE ELIZABETH SCORSONE PA 5350

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