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Oklahoma Board of Medical Licensure and Supervision

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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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LEVIN, JARAD IVAN       
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: OU HEALTH PHYSICIANS DERMATOLOGY
1000 NE 13TH STREET STE 1C
OKLAHOMA CITY OK 73104

Address last updated on 6/24/2024
Phone #: (405) 271-6110
Fax #:
County: OKLAHOMA
License: 30827
Dated: 7/1/2014
Expires: 7/1/2025
License Type: Medical Doctor
Specialty: Dermatology
Internal Medicine
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of Tx Med Branch Galveston, Galveston Tx 77550
Graduated: 5 / 2010
CME Year: 2026
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 DERMATOLOGY
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
OU HEALTH PHYSICIANS DERMATOLOGY
1000 NE 13TH STREET STE 1C
OKLAHOMA CITY OK 73104

Phone #: (405) 271-6110
Fax #:
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
RHONDA KAY HUMMEL PA 1518

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