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Oklahoma Board of Medical Licensure and Supervision

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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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RAMADAN, MOHAMMAD OMAR       
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: 608 NW 9TH ST
SUITE 6000
OKLAHOMA CITY OK 73102

Address last updated on 11/8/2024
Phone #: (405) 772-4533
Fax #:
County: OKLAHOMA
License: 27834
Dated: 12/8/2011
Expires: 12/1/2025
License Type: Medical Doctor
Specialty: Urology
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduated: 5 / 2010
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: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: Aetna HMO
Aetna PPO
Blue Cross Blue Shield-Blue Preferred
BlueChoice PPO
BlueLincs HMO
CIGNA PPO
HealthChoice
Humana ChoiceCare
Humana Medicare Advantage PPO
Humana Tricare/PGBA
OSMA Health (formerly Plico PPO)
Preferred Community Choice
Railroad Medicare
SoonerCare PPO
United Healthcare Choice
Hospital Privileges: SSM Health St. Anthony Hospital - OKC
Oklahoma City, OK
Locations: Hours: Languages:
608 NW 9TH ST
SUITE 6000
OKLAHOMA CITY OK 73102

Phone #: (405) 772-4533
Fax #:
Mon: 8:00AM - 4:30PM
Tue: 8:00AM - 4:30PM
Wed: 8:00AM - 4:30PM
Thu: 8:00AM - 4:30PM
Fri: 8:00AM - 4:30PM
Sat:
Sun:
OU Physicians Urology
825 NE 10th Street
Suite 5F
OKLAHOMA CITY, OK 73104

Phone #: (405) 271-8156
Fax #: (9) 201-6
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
SSM Health Medical Group - Urology
608 NW 9th St. Suite 5000
Oklahoma City, OK 73102

Phone #: (405) 772-4533
Fax #: (7) 202-
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
ANNA ELIZABETH BRADDOCK PA 5267
ELISABETH OKROI APRN 110092

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