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Last Update: Thursday, December 19, 2024 3:44 AM CST
Next Update: Thursday, December 19, 2024 12:00 PM CST

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MUDALLAL, OMAR USAMA       
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: VA MEDICAL CENTER
915 NORTH GRAND BLVD
ST LOUIS MO 63106

Address last updated on 4/18/2024
Phone #: (314) 652-4100
Fax #:
County: NOT OKLAHOMA
License: 33098
Dated: 6/2/2017
Expires: 6/1/2025
License Type: Medical Doctor
Specialty: Internal Medicine
Nephrology
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: Ross Univ, Sch of Med, Roseau, Dominica
Graduated: 4 / 2012
CME Year: 2025
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
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: Mercy Hospital Logan County (fmly Logan Hosp. and MC)
Guthrie, OK
Mercy Hospital Tishomingo (fmly Johnston Memorial)
Tishomingo, OK
Mercy Hospital Watonga (fmly Watonga Municipal Hospital)
Watonga, OK
Locations: Hours: Languages:
VA MEDICAL CENTER
915 NORTH GRAND BLVD
ST LOUIS MO 63106

Phone #: (314) 652-4100
Fax #:
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:

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