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ELTAYEB, OSAMA MOHYELDIN       
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: WARREN CLINIC
6151 SOUTH YALE #2-403
TULSA OK 74136

Address last updated on 4/18/2013
Phone #: (918) 494-1710
Fax #: (918) 494-1715
County: TULSA
License: 28980
Dated: 6/1/2012
Expires: 6/1/2014
License Type: Medical Doctor
Specialty: General Surgery
SURGERY, THORACIC
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: UNIV OF KHARTOUM, FAC OF MED, KHARTOUM, SUDAN (848-01 PRIOR 1/1971)
Graduated: 2 / 1991
CME Year: 2015
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 SURGERY
AMERICAN BOARD OF THORACIC SURGERY
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
WARREN CLINIC
6151 SOUTH YALE #2-403
TULSA OK 74136

Phone #: (918) 494-1710
Fax #: (918) 494-1715

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