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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Thursday, December 19, 2024 3:44 AM CST
Next Update: Thursday, December 19, 2024 12:00 PM CST

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MOHAMMED, ANWARULLAH       
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: 412 MERCEDES STREET
SUITE G
BENBROOK TX 76126

Address last updated on 12/6/2023
Phone #: (817) 782-9020
Fax #: (844) 270-0029
County: NOT OKLAHOMA
License: 28922
Dated: 2/1/2013
Expires: 2/1/2025
License Type: Medical Doctor
Specialty: Family Medicine
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: YES
Medical School: Deccan Coll of Med Sci, NTR Univ of Hlth Sci, Hyderabad, A P, India
Graduated: 7 / 2002
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 FAMILY 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
CIGNA HMO
Texas Medicaid
United Healthcare HMO
Hospital Privileges: Hospital(s) Not In Oklahoma
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Locations: Hours: Languages:
412 MERCEDES STREET
SUITE G
BENBROOK TX 76126

Phone #: (817) 782-9020
Fax #: (844) 270-0029
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:

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