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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Wednesday, December 18, 2024 6:43 PM CST
Next Update: Thursday, December 19, 2024 2:50 AM CST

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TAWIL, GHASSAN       
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: UTICA PARK CLINIC
1145 S UTICA AVE
# 110
TULSA OK 74104

Address last updated on 5/14/2024
Phone #: (918) 579-3137
Fax #: (918) 579-1262
County: TULSA
License: 22986
Dated: 7/1/2004
Expires: 7/1/2025
License Type: Medical Doctor
Specialty: Internal Medicine
Critical Care Medicine (Internal Medicine)
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of Aleppo, Fac Of Med, Aleppo, Syria
Graduated: 3 / 1994
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 - Critical Care Medicine
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: Hillcrest Medical Center
Tulsa, OK
Hospital Not Listed
,
Hospital(s) Not In Oklahoma
,
SSM Health St. Anthony Hospital - OKC
Oklahoma City, OK
Locations: Hours: Languages:
UTICA PARK CLINIC
1145 S UTICA AVE
# 110
TULSA OK 74104

Phone #: (918) 579-3137
Fax #: (918) 579-1262
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
1000 N Lee Ave
Oklahoma City, OK 73102

Phone #: (405) 272-7147
Fax #: (5) 201-
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun: Part time
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
JENNIFER KUWITZKY APRN 41434
CANDICE ROGERS-OSMAN APRN 87945

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