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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Friday, November 22, 2024 6:42 PM CST
Next Update: Saturday, November 23, 2024 2:50 AM CST

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ASHFAQ, AHMAD       
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: CRESCENT INFECTIOUS DISEASES
1111 N LEE AVE
SUITE 249
OKC OK 73103

Address last updated on 11/3/2024
Phone #: (405) 594-5848
Fax #: (405) 594-5847
County: OKLAHOMA
License: 30335
Dated: 12/20/2013
Expires: 12/1/2025
License Type: Medical Doctor
Specialty: Internal Medicine
Infectious Disease
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: YES
Medical School: Allama Iqbal Med Coll, Univ Of Punjab, Lahore, Pakistan
Graduated: 10 / 1999
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 INTERNAL MEDICINE
AMERICAN BOARD OF INTERNAL MEDICINE - Infectious Disease
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: None listed
Hospital Privileges: Inspire Specialty Hospital of Midwest City
Midwest City, OK
Kindred Hospital-Oklahoma City
Oklahoma City, OK
Mercy Hospital OKC
Oklahoma City, OK
Norman Regional Healthplex
Norman, OK
Norman Regional Hospital
Norman, OK
Oklahoma Heart Hospital - South Campus (5200 I-240 Service Rd)
Oklahoma City, OK
SSM Health Bone and Joint Hospital at St. Anthony
Oklahoma City, OK
SSM Health St. Anthony Hospital - OKC
Oklahoma City, OK
Locations: Hours: Languages:
CRESCENT INFECTIOUS DISEASES
1111 N LEE AVE
SUITE 249
OKC OK 73103

Phone #: (405) 594-5848
Fax #: (405) 594-5847
Mon: 8:30AM - 5:00PM
Tue: 8:30AM - 5:00PM
Wed: 8:30AM - 5:00PM
Thu: 8:30AM - 5:00PM
Fri: 8:30AM - 5:00PM
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
LAUREN CLARK APRN 100056
STEPHEN ROY FRAZEE PA 2935
JACALYN MICHELLE HONEYWELL PA 4804
HANNAH MARIE PEACOCK PA 3211
DYLAN SHOCKLEY APRN 113527
JORDAN ELISABETH SHUART PA 2853
TAYLOR LANE WINZELER PA 2215

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