KHALID, MANSOOR - Licensee Information

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Last Update: Saturday, December 21, 2024 3:49 AM CST
Next Update: Saturday, December 21, 2024 12:00 PM CST

KHALID, MANSOOR

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:	KIDNEY SPECILISTS OF CENTRAL OKLAHOMA 3366 NW EXPRESSWAY SUITE 550 OKLAHOMA CITY OK 73112-4489 Address last updated on 5/13/2024
Phone #:	(405) 942-5442
Fax #:	(405) 942-6448
County:	OKLAHOMA
License:	25798
Dated:	7/1/2009
Expires:	7/1/2025
License Type:	Medical Doctor
Specialty:	Internal Medicine Hospitalist

Status:	Active
Status Class:	Fully Licensed
Restricted to:
Registered to Dispense:	NO
Medical School:	Khyber Med Coll, Univ Of Peshawar, Peshawar, Pakistan
Graduated:	12 / 2003
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
New Patients:	Yes
Medicaid:	Yes
Medicare:	Yes

HMO/PPO:	Aetna PPO Blue Cross Blue Shield-Blue Preferred Blue Cross Blue Shield-Blue Traditional Blue Cross Blue Shield-Plan 65 Select BlueChoice PPO BlueLincs HMO CCN Managed Care Champ VA CIGNA HMO CIGNA PPO CommunityCare HMO, Inc CommunityCare Senior HMO Coventry Health Care National Network Global Health HMO Great West Healthcare HealthChoice Humana ChoiceCare Humana Medicare Advantage PPO Humana Tricare/PGBA Medicare Blue Oklahoma Health Network PPO PPO Oklahoma Railroad Medicare SoonerCare HMO SoonerCare PPO Tricare for Life Tricare Standard United Healthcare Choice United Healthcare EPO United Healthcare HMO United Healthcare Options PPO United Healthcare POS
Hospital Privileges:	None listed

Locations:	Hours:	Languages:
KIDNEY SPECILISTS OF CENTRAL OKLAHOMA 3366 NW EXPRESSWAY SUITE 550 OKLAHOMA CITY OK 73112-4489 Phone #: (405) 942-5442 Fax #: (405) 942-6448	Mon: 8:30AM - 5:00PM Tue: 8:30AM - 5:00PM Wed: 8:30AM - 5:00PM Thu: 8:30AM - 5:00PM Fri: 8:30AM - 5:00PM Sat: CLOSE Sun: CLOSE

Name:	Type:	License Number:	Full/Part Time:
Primary Supervisees(s):
PAUL LAWRENCE HART	PA	2007

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