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IBRAHIM, HASSAN       
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: LOUISIANA STATE UNIVERSITY
1501 KINGS HIGHWAY
PO BOX 33932
SHREVEPORT LA 71130

Address last updated on 1/5/2012
Phone #: (318) 675-7266
Fax #:
County: NOT OKLAHOMA
License: 26693
Dated: 2/24/2009
Expires: 2/1/2014
License Type: Medical Doctor
Specialty: Pediatrics
Neonatal-Perinatal Medicine
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: YES
Medical School: Ain Shams Univ, Fac Of Med, Abbasia, Cairo, Egypt (330-04 Pr 1/71)
Graduated: 6 / 1978
CME Year: 2015
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 PEDIATRICS
AMERICAN BOARD OF PEDIATRICS - Neonatal-Perinatal Medicine
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
LOUISIANA STATE UNIVERSITY
1501 KINGS HIGHWAY
PO BOX 33932
SHREVEPORT LA 71130

Phone #: (318) 675-7266
Fax #:
Mon:
Tue:
Wed:
Thu:
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