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Oklahoma Board of Medical Licensure and Supervision

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Next Update: Thursday, December 19, 2024 2:50 AM CST

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ALAM, SHAMSUL       
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: THE KIDNEY CLINIC
2618 S
1200 NEO LOOP SUITE # B
BENTONVILLE AR 72712

Address last updated on 10/20/2023
Phone #: (479) 271-9393
Fax #: (479) 271-0141
County: NOT OKLAHOMA
License: 27959
Dated: 9/14/2010
Expires: 9/1/2024
License Type: Medical Doctor
Specialty: Internal Medicine
Nephrology
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Chittagong Med Coll, Chittagong, Bangladesh
Graduated: 7 / 1985
CME Year: 2025
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: Blue Cross Blue Shield-Blue Preferred
Blue Cross Blue Shield-Blue Traditional
Blue Cross Blue Shield-Plan 65 Select
BlueChoice PPO
CIGNA PPO
CompMed
Coventry Health Care National Network
First Health
Humana ChoiceCare
Humana Medicare Advantage PPO
Humana Tricare/PGBA
Medicare Blue
Railroad Medicare
Tricare for Life
Tricare Standard
Tyson Preferred Network (TPN)
United Healthcare Choice
United Healthcare Options PPO
Hospital Privileges: Hospital(s) Not In Oklahoma
,
Locations: Hours: Languages:
THE KIDNEY CLINIC
2618 S
1200 NEO LOOP SUITE # B
BENTONVILLE AR 72712

Phone #: (479) 271-9393
Fax #: (479) 271-0141
Mon: 9:00AM - 4:00PM
Tue: 9:00AM - 4:00PM
Wed: 9:00AM - 4:00PM
Thu: 9:00AM - 4:00PM
Fri: 9:00AM - 12:00PM
Sat:
Sun:

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