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PAN, CHENG-HSIUNG       
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: 1710 WEST 3RD STREET #102
ELK CITY OK 73644

Address last updated on 3/7/2011
Phone #: (580) 225-5365
Fax #: (580) 225-2174
County: BECKHAM
License: 24331
Dated: 5/2/2005
Expires: 5/1/2012
License Type: Medical Doctor
Specialty: Otolaryngology
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: NATL TAIWAN UNIV COLL OF MED, TAIPEI, TAIWAN (385-02 PRIOR 1/71)
Graduated: 6 / 1972
CME Year: 2014
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 OTOLARYNGOLOGY
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: Great Plains Regional Medical Center
Elk City, OK
Locations: Hours: Languages:
1710 WEST 3RD STREET #102
ELK CITY OK 73644

Phone #: (580) 225-5365
Fax #: (580) 225-2174

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