Search Results
Last Update: Friday, December 27, 2024 1:14 PM CST
Next Update: Friday, December 27, 2024 4:30 PM CST
Return to Search Licensees page
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 |
|
|
|
Return to Search Licensees page