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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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NIA, ARDESHIR FAGHIH       
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: 3015 E SKELLEY DR
SUITE 103
TULSA OK 74105

Address last updated on 10/23/2024
Phone #: (918) 289-2300
Fax #: (918) 900-6564
County: TULSA
License: 24784
Dated: 1/26/2006
Expires: 1/1/2026
Temp. Lic. Issued: 12/1/2005
Temp. Lic. Expires: 1/28/2006
License Type: Medical Doctor
Specialty: Internal Medicine
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: YES
Medical School: Tehran Univ of Med Scies & Hlth Serv, Tehran Med Sch, Tehran, Iran
Graduated: 3 / 1982
CME Year: 2027
Pending and/or Past Disciplinary Actions:
Date Action Reasons Remarks
3/6/2017 Probation Ended
3/6/2014 Probation
4/16/2013 Complaint Citation
Board Filings and/or Orders:
03/11/2016
06/26/2014
05/21/2014
03/06/2014
11/22/2013
08/02/2013
05/15/2013
05/10/2013
04/15/2013
04/15/2013
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Certifications:
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
3015 E SKELLEY DR
SUITE 103
TULSA OK 74105

Phone #: (918) 289-2300
Fax #: (918) 900-6564
Mon: 9:00AM - 5:00PM
Tue: 9:00AM - 5:00PM
Wed: 9:00AM - 5:00PM
Thu: 9:00AM - 5:00PM
Fri: 9:00AM - 5:00PM
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
CARMEN NATERAS APRN 123065
EDGAR SOLORIO APRN 13364

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