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Last Update: Thursday, December 19, 2024 1:14 PM CST
Next Update: Thursday, December 19, 2024 4:30 PM CST
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MUSUMBI, MARTIN SUA
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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.
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| Practice Address: |
NORTHEASTERN HEALTH SYSTEM
1400 E DOWNING ST
TAHLEQUAH OK 74464
Address last updated on 10/8/2024 |
| Phone #: |
(918) 456-0641 |
| Fax #: |
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| County: |
CHEROKEE |
| License: |
30246 |
| Dated: |
12/10/2013 |
| Expires: |
12/1/2025 |
| License Type: |
Medical Doctor |
| Specialty: |
Critical Care Medicine (Internal Medicine)
Internal Medicine |
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| Status: |
Active |
| Status Class: |
Fully Licensed |
| Restricted to: |
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| Registered to Dispense: |
NO |
| Medical School: |
Univ Of KS Sch Of Med, Kansas City Ks 66103 |
| Graduated: |
5 /
2008 |
| CME Year: |
2025 |
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Pending and/or Past Disciplinary Actions:
No Disciplinary Action Taken.
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All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
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| Certifications: |
AMERICAN BOARD OF INTERNAL MEDICINE
AMERICAN BOARD OF INTERNAL MEDICINE - Critical Care Medicine |
| New Patients: |
Contact licensee |
| Medicaid: |
Contact licensee |
| Medicare: |
Contact licensee |
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| HMO/PPO: |
None listed |
| Hospital Privileges: |
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Tishomingo, OK
Mercy Hospital Watonga (fmly Watonga Municipal Hospital)
Watonga, OK
Mercy Memorial Health Center, Inc. - Ardmore
Ardmore, OK
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