AGUDELO HIGUITA, NELSON IVAN - Licensee Information

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Last Update: Sunday, November 17, 2024 1:13 PM CST
Next Update: Sunday, November 17, 2024 4:30 PM CST

AGUDELO HIGUITA, NELSON IVAN

Practice Address:	800 STANTON L YOUNG BLVD. SUITE 7300 OKLAHOMA CITY OK 73104 Address last updated on 5/6/2024
Phone #:	(405) 271-6122
Fax #:
County:	OKLAHOMA
License:	25170
Dated:	7/1/2009
Expires:	7/1/2025
License Type:	Medical Doctor
Specialty:	Internal Medicine Infectious Disease

Status:	Active
Status Class:	Fully Licensed
Restricted to:
Registered to Dispense:	YES
Medical School:	Univ Nac'L Auto De Honduras, Fac De Cien Med, Tegucigalpa, Honduras
Graduated:	6 / 2004
CME Year:	2027

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 AMERICAN BOARD OF INTERNAL MEDICINE - Infectious Disease
New Patients:	Contact licensee
Medicaid:	Contact licensee
Medicare:	Contact licensee

HMO/PPO:	None listed
Hospital Privileges:	None listed

Locations:	Hours:	Languages:
800 STANTON L YOUNG BLVD. SUITE 7300 OKLAHOMA CITY OK 73104 Phone #: (405) 271-6122 Fax #:	Mon: Tue: Wed: Thu: Fri: Sat: Sun:

Name:	Type:	License Number:
Primary Supervisees(s):
MELISSA ALFRED	APRN	122605
SHAUNTAE ANTWINE	APRN	101646
PHIL JOSEPH BURKE	PA	1959
SERINA MADDEN	APRN	74462
MORGAN MICHELLE MUELLER	PA	2965