Search Results
Last Update: Thursday, December 19, 2024 3:44 AM CST
Next Update: Thursday, December 19, 2024 12:00 PM CST
Return to Search Licensees page
MOORE, IMARI ELENA
|
|
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: |
13313 N MERIDIEN AVE
BUILDING C
OKLAHOMA CITY OK 73120
Address last updated on 9/6/2024 |
| Phone #: |
(405) 254-1757 |
| Fax #: |
(405) 254-1758 |
| County: |
OKLAHOMA |
| License: |
32252 |
| Dated: |
6/20/2016 |
| Expires: |
6/1/2025 |
| License Type: |
Medical Doctor |
| Specialty: |
Obstetrics & Gynecology |
|
| Status: |
Active |
| Status Class: |
Fully Licensed |
| Restricted to: |
|
| Registered to Dispense: |
NO |
| Medical School: |
Univ Of South Fl Coll Of Med, Tampa Fl 33612 |
| Graduated: |
5 /
2012 |
| 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 OBSTETRICS AND GYNECOLOGY |
| New Patients: |
Yes |
| Medicaid: |
Yes |
| Medicare: |
Yes |
| |
|
| HMO/PPO: |
None listed |
| Hospital Privileges: |
Mercy Hospital OKC
Oklahoma City, OK
|
|
|
|
Primary Supervisees(s):
|
| Name: |
Type: |
License Number: |
Full/Part Time: |
|
AMY PRUITT
|
APRN |
73483 |
|
|
Return to Search Licensees page
