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Next Update: Thursday, December 19, 2024 2:50 AM CST
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SALLOUM, MOTI
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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: |
2400 AVE. A
YUMA AZ 85364
Address last updated on 10/22/2007 |
| Phone #: |
(928) 336-1442 |
| Fax #: |
(928) 336-7776 |
| County: |
NOT OKLAHOMA |
| License: |
23403 |
| Dated: |
10/1/2003 |
| Expires: |
10/1/2008 |
| License Type: |
Medical Doctor |
| Specialty: |
Internal Medicine |
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| Status: |
Inactive |
| Status Class: |
Expired License |
| Restricted to: |
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| Registered to Dispense: |
NO |
| Medical School: |
UNIV OF DAMASCUS, FAC OF MED, DAMASCUS, SYRIA |
| Graduated: |
10 /
1994 |
| CME Year: |
2009 |
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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 |
| New Patients: |
Yes |
| Medicaid: |
Yes |
| Medicare: |
Yes |
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| HMO/PPO: |
None listed |
| Hospital Privileges: |
Hospital(s) Not In Oklahoma
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| Locations: |
Hours: |
Languages: |
2400 AVE. A
YUMA AZ 85364
Phone #:
(928) 336-1442
Fax #:
(928) 336-7776 |
Mon: 7:00AM - 3:00PM
Tue: 7:00AM - 3:00PM
Wed: 7:00AM - 3:00PM
Thu: 6:00AM - 3:00PM
Fri: 7:00AM - 3:00PM |
Spanish |
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