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MALEKI, KHOSROW       
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: 917 1ST STREET NORTH
UNIT 701
JACKSONVILLE BEACH FL 32250

Address last updated on 6/19/2015
Phone #: (904) 687-5179
Fax #:
County: NOT OKLAHOMA
License: 27036
Dated: 7/1/2009
Expires: 7/1/2016
License Type: Medical Doctor
Specialty: Orthopedic Surgery
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Tehran Sch of Med Sci, Tehran, Iran
Graduated: 7 / 1971
CME Year: 2018
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:
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: Hospital(s) Not In Oklahoma
,
Locations: Hours: Languages:
917 1ST STREET NORTH
UNIT 701
JACKSONVILLE BEACH FL 32250

Phone #: (904) 687-5179
Fax #:
Mon: 8:30AM - 4:30PM
Tue: 8:30AM - 4:30PM
Wed: 8:30AM - 4:30PM
Thu: 8:30AM - 4:30PM
Fri: 8:30AM - 4:30PM
Sat:
Sun:

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