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Next Update: Thursday, December 19, 2024 12:00 PM CST
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AYE, THAN THAN
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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: |
104 NW 31ST STREET
LAWTON OK 73505
Address last updated on 5/3/2019 |
| Phone #: |
(580) 536-2121 |
| Fax #: |
(580) 536-2150 |
| County: |
COMANCHE |
| License: |
31439 |
| Dated: |
6/4/2015 |
| Expires: |
1/30/2021 |
| License Type: |
Medical Doctor |
| Specialty: |
Internal Medicine
Hematology (Internal Medicine)
HEMATOLOGY/ONCOLOGY |
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| Status: |
Inactive |
| Status Class: |
Expired License |
| Restricted to: |
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| Registered to Dispense: |
YES |
| Medical School: |
INST OF MED I, YANGON, MYANMAR |
| Graduated: |
10 /
2002 |
| CME Year: |
2021 |
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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 - Hematology
AMERICAN BOARD OF INTERNAL MEDICINE - Medical Oncology |
| New Patients: |
Yes |
| Medicaid: |
Yes |
| Medicare: |
Yes |
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| HMO/PPO: |
Blue Cross Blue Shield-Blue Preferred
Coventry Health Care National Network
First Health
HealthChoice
Humana ChoiceCare
Humana Medicare Advantage PPO
Humana Tricare/PGBA
National Preferred Provider Network (NPPN)
Preferred Community Choice
Railroad Medicare
SoonerCare PPO
Tricare for Life
Tricare Standard |
| Hospital Privileges: |
Comanche County Memorial Hospital
Lawton, OK
Duncan Regional Hospital
Duncan, OK
Jackson County Memorial Hospital
Altus, OK
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