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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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NAEL, RAHA       
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: OKLAHOMA HEART HOSPITAL
4050 WEST MEMORIAL
OKLAHOMA CITY OK 73120

Address last updated on 7/6/2023
Phone #: (405) 608-3800
Fax #:
County: OKLAHOMA
License: 23921
Dated: 9/20/2005
Expires: 9/1/2025
License Type: Medical Doctor
Specialty: Vascular Medicine
Internal Medicine
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: YES
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduated: 5 / 2004
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
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: Mercy Hospital OKC
Oklahoma City, OK
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
Locations: Hours: Languages:
OKLAHOMA HEART HOSPITAL
4050 WEST MEMORIAL
OKLAHOMA CITY OK 73120

Phone #: (405) 608-3800
Fax #:
Mon: 8:30AM - 5:00PM
Tue: 8:30AM - 5:00PM
Wed: 8:30AM - 12:00PM
Thu: 8:30AM - 5:00PM
Fri: 8:30AM - 5:00PM
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
TIFFANY HINSON APRN 81953
MAYA JOSEPH APRN 76540
KIMMIE PHISAIWATH APRN 99993

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