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MIRZOYAN, MICHAEL       
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: ST JOHN PHYSICIANS
1705 E 19TH STREET SUITE 302
TULSA OK 74104

Address last updated on 5/18/2016
Phone #: (918) 748-7585
Fax #: (918) 293-3119
County: TULSA
License: 32286
Dated: 5/17/2016
Expires: 5/1/2017
Temp. Lic. Issued: 5/6/2016
Temp. Lic. Expires: 6/24/2016
License Type: Medical Doctor
Specialty: Internal Medicine
Pulmonary Disease
Critical Care Medicine (Internal Medicine)
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Samara State Medical Univ, Samara, Russia
Graduated: 6 / 1997
CME Year: 2019
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 INTERNAL MEDICINE
AMERICAN BOARD OF INTERNAL MEDICINE - Critical Care Medicine
AMERICAN BOARD OF INTERNAL MEDICINE - Pulmonary Disease
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
ST JOHN PHYSICIANS
1705 E 19TH STREET SUITE 302
TULSA OK 74104

Phone #: (918) 748-7585
Fax #: (918) 293-3119

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