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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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AMBAW, SAMSON MULU       
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: MIDWEST NEPHROLOGY GROUP PLLC
9230 E. RENO AVE
SUITE B
MIDWEST CITY OK 73130

Address last updated on 5/7/2024
Phone #: (405) 737-4900 x208
Fax #: (405) 737-3606
County: OKLAHOMA
License: 28940
Dated: 3/6/2012
Expires: 3/1/2025
License Type: Medical Doctor
Specialty: Nephrology
Hospitalist
Internal Medicine
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: JIMMA HLTH SCI INST, JIMMA, ETHIOPIA
Graduated: 7 / 2003
CME Year: 2027
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
AMERICAN BOARD OF INTERNAL MEDICINE - Nephrology
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: INTEGRIS Baptist Medical Center
Oklahoma City, OK
INTEGRIS Baptist Portland Ave (fmly Deaconess Hospital)
Oklahoma City, OK
INTEGRIS Southwest Medical Center
Oklahoma City, OK
Oklahoma Heart Hospital - North Campus (4050 W. Memorial Rd)
Oklahoma City, OK
Oklahoma Heart Hospital - South Campus (5200 I-240 Service Rd)
Oklahoma City, OK
SSM St Anthony Midwest Regional Medical Center
Midwest City, OK
Locations: Hours: Languages:
MIDWEST NEPHROLOGY GROUP PLLC
9230 E. RENO AVE
SUITE B
MIDWEST CITY OK 73130

Phone #: (405) 737-4900 x208
Fax #: (405) 737-3606
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:

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