Oklahoma State SealOklahoma State Seal
Oklahoma Board of Medical Licensure and Supervision

Search Results

Last Update: Wednesday, December 18, 2024 6:43 PM CST
Next Update: Thursday, December 19, 2024 2:50 AM CST

Return to Search Licensees page

ALI, TAYYABA FAZAL       
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: 13821 TECHNOLOGY DRIVE
OKLAHOMA OK 73134

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

Phone #: (405) 437-0014
Fax #:
Mon:
Tue: 2:30PM - 5:00PM
Wed:
Thu: 2:15PM - 5:00PM
Fri: 2:30PM - 5:00PM
Sat:
Sun:
330S 5th street
Enid, OK 73031

Phone #: (580) 249-3027
Fax #: (5) 202-
Mon: 12:30PM - 4:30PM
Tue:
Wed: 12:30PM - 4:30PM
Thu:
Fri:
Sat:
Sun:
Hindi
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
SHALYN MONSEES APRN 19960
JANA NIKOLE MORRIS PA 1383
JENNIFER WEBBER APRN 91272

Return to Search Licensees page