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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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FAZILI, TAJAMMUL       
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
510 E STONER AVE
SHREVEPORT LA 71101

Address last updated on 6/2/2024
Phone #: (318) 221-8411 x5286
Fax #:
County: NOT OKLAHOMA
License: 26566
Dated: 8/6/2008
Expires: 8/1/2025
License Type: Medical Doctor
Specialty: Urology
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: Gov't Med Coll Srinagar, Kashmir Univ, Srinagar, Jammu & Kashmir, India
Graduated: 1 / 1988
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 UROLOGY
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
VA MEDICAL CENTER
510 E STONER AVE
SHREVEPORT LA 71101

Phone #: (318) 221-8411 x5286
Fax #:
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:

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