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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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ALI, TAYYABA FAZAL
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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: |
13821 TECHNOLOGY DRIVE
OKLAHOMA OK 73134
Address last updated on 6/25/2024 |
Phone #: |
(405) 437-0014 |
Fax #: |
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County: |
OKLAHOMA |
License: |
30640 |
Dated: |
7/1/2016 |
Expires: |
7/1/2025 |
License Type: |
Medical Doctor |
Specialty: |
Psychiatry
Child and Adolescent Psychiatry |
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Status: |
Active |
Status Class: |
Fully Licensed |
Restricted to: |
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Registered to Dispense: |
NO |
Medical School: |
Allama Iqbal Med Coll, Univ Of Punjab, Lahore, Pakistan |
Graduated: |
6 /
1999 |
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 PSYCHIATRY AND NEUROLOGY (Psychiatry specific)
AMERICAN BOARD OF PSYCHIATRY AND NEUROLOGY (Psychiatry specific) - Child & Adolescent Psychiatry |
New Patients: |
Yes |
Medicaid: |
Yes |
Medicare: |
Yes |
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HMO/PPO: |
Blue Cross Blue Shield-Blue Preferred |
Hospital Privileges: |
St. Mary's Regional Medical Center
Enid, OK
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