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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Wednesday, December 18, 2024 6:43 PM CST
Next Update: Thursday, December 19, 2024 2:50 AM CST

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PHAM, TUAN ANH       
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: 4720 S HARVARD AVENUE SUITE 100
TULSA OK 74135

Address last updated on 7/14/2024
Phone #: (918) 749-6730
Fax #: (918) 403-6318
County: TULSA
License: 33096
Dated: 8/24/2018
Expires: 8/1/2025
License Type: Medical Doctor
Specialty: Geriatric Medicine (Family Practice)
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduated: 5 / 2016
CME Year: 2027
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 FAMILY MEDICINE - Geriatric Medicine
New Patients: No
Medicaid: No
Medicare: No
   
HMO/PPO: None listed
Hospital Privileges: Ascension St. John Medical Center
Tulsa, OK
Locations: Hours: Languages:
4720 S HARVARD AVENUE SUITE 100
TULSA OK 74135

Phone #: (918) 749-6730
Fax #: (918) 403-6318
Mon: 8:00AM - 5:00PM
Tue: 8:00AM - 5:00PM
Wed: 8:00AM - 5:00PM
Thu: 8:00AM - 5:00PM
Fri: 8:00AM - 5:00PM
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
ANTHONY NICHOLAS BARBETTINI PA 1347
MEGAN BLAIRE KASSEM PA 2881
CORINNE ONIGBINDE PA 2873

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