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PHAM, AMY QUYNH-TRANG       
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: 1230 ST PAUL ST #4
BALTIMORE MD 21202

Address last updated on 4/24/2021
Phone #: (214) 325-0160
Fax #:
County: NOT OKLAHOMA
License: 32494
Dated: 5/8/2017
Expires: 5/1/2021
License Type: Medical Doctor
Specialty: General Practice
Family Medicine
Internal Medicine
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of TX Southwestern Med Sch At Dallas SW Med Sch, Dallas Tx 75235
Graduated: 6 / 2010
CME Year: 2023
Pending and/or Past Disciplinary Actions:
Date Action Reasons Remarks
5/6/2021 Revoked License
10/22/2020 Complaint Citation
Board Filings and/or Orders:
05/06/2021
01/14/2021
10/22/2020
10/22/2020
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Certifications:
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
1230 ST PAUL ST #4
BALTIMORE MD 21202

Phone #: (214) 325-0160
Fax #:
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:

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