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FAYYAZ, ANUM       
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: 1200 CHILDRENS AVENUE
SUITE 1400
OKLAHOMA CITY OK 73104

Address last updated on 5/15/2021
Phone #: (405) 740-9930
Fax #:
County: OKLAHOMA
License: 32993
Dated: 7/1/2019
Expires: 7/1/2022
License Type: Medical Doctor
Specialty: MEDICINE/PEDIATRICS
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Lahore Med & Dental Coll, Lahore, Pakistan
Graduated: 11 / 2010
CME Year: 2022
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:
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
1200 CHILDRENS AVENUE
SUITE 1400
OKLAHOMA CITY OK 73104

Phone #: (405) 740-9930
Fax #:
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:

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