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Last Update: Thursday, December 19, 2024 3:44 AM CST
Next Update: Thursday, December 19, 2024 12:00 PM CST
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KURDGELASHVILI, GEORGE
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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.
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Practice Address: |
921 NE 13TH STREET (111 C)
OKLAHOMA CITY OK 73104
Address last updated on 6/3/2024 |
Phone #: |
(405) 456-2544 |
Fax #: |
(405) 456-5934 |
County: |
OKLAHOMA |
License: |
22806 |
Dated: |
7/1/2002 |
Expires: |
7/1/2025 |
License Type: |
Medical Doctor |
Specialty: |
Infectious Disease
Internal Medicine |
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Status: |
Active |
Status Class: |
Fully Licensed |
Restricted to: |
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Registered to Dispense: |
NO |
Medical School: |
Tbilisi State Med Inst, Tbilisi, Georgia |
Graduated: |
6 /
1996 |
CME Year: |
2026 |
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Pending and/or Past Disciplinary Actions:
No Disciplinary Action Taken.
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All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
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Certifications: |
AMERICAN BOARD OF INTERNAL MEDICINE
AMERICAN BOARD OF INTERNAL MEDICINE - Infectious Disease |
New Patients: |
Contact licensee |
Medicaid: |
Contact licensee |
Medicare: |
Contact licensee |
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HMO/PPO: |
None listed |
Hospital Privileges: |
V.A. Medical Center-OKC
Oklahoma City, OK
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Primary Supervisees(s):
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Name: |
Type: |
License Number: |
Full/Part Time: |
NATHAN ROBERT MAX
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PA |
4561 |
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