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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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ALI, MUNAWAR       
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: VA MEDICAL CENTER
921 NE 13TH STREET
OKLAHOMA CITY OK 73104

Address last updated on 9/30/2024
Phone #: (405) 822-6257 x1326
Fax #: (405) 456-1326
County: OKLAHOMA
License: 24167
Dated: 10/19/2005
Expires: 10/1/2025
License Type: Medical Doctor
Specialty: Adult Reconstructive Orthopedics
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: Allama Iqbal Med Coll, Univ Of Punjab, Lahore, Pakistan
Graduated: 12 / 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 ORTHOPAEDIC SURGERY
AMERICAN BOARD OF ORTHOPAEDIC SURGERY - Surgery of the Hand - Subspecialty
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
VA MEDICAL CENTER
921 NE 13TH STREET
OKLAHOMA CITY OK 73104

Phone #: (405) 822-6257 x1326
Fax #: (405) 456-1326
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
ANNA CANOY COLSTON PA 2211
DEMETRIOUS FARROW PA 1249
LISA DIANE KIPPENBERGER PA 977
SARAH ELIZABETH VISCARRA PA 2680

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