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AWAN, TAYYIBA       
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: KAISER PERMANENTE MEDICAL CENTER
1600 EUREKA ROAD
ROSEVILLE CA 95661

Address last updated on 12/17/2012
Phone #: (916) 784-5000
Fax #:
County: NOT OKLAHOMA
License: 29336
Dated: 12/17/2012
Expires: 12/1/2013
License Type: Medical Doctor
Specialty: Internal Medicine
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: King Edward Med Coll, Univ Of Punjab, Lahore, Pakistan
Graduated: 7 / 1968
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 INTERNAL MEDICINE
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
KAISER PERMANENTE MEDICAL CENTER
1600 EUREKA ROAD
ROSEVILLE CA 95661

Phone #: (916) 784-5000
Fax #:

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