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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Sunday, December 22, 2024 6:44 PM CST
Next Update: Monday, December 23, 2024 2:50 AM CST

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KHAN, TARIQ ASADULLAH       
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: 4221 SOUTH WESTREN AVE
SUITE 5020
OKLAHOMA CITY OK 73109

Address last updated on 12/10/2024
Phone #: (405) 768-5904
Fax #: (405) 768-5906
County: OKLAHOMA
License: 33459
Dated: 1/5/2018
Expires: 1/1/2026
License Type: Medical Doctor
Specialty: Nephrology
Hospitalist
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: Dow Med Coll, Univ Of Karachi, Karachi, Pakistan
Graduated: 1 / 1995
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 INTERNAL MEDICINE
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
4221 SOUTH WESTREN AVE
SUITE 5020
OKLAHOMA CITY OK 73109

Phone #: (405) 768-5904
Fax #: (405) 768-5906
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: CLOSE
Sun: CLOSE
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
RACHEL BREANNE TOMLIN PA 2421
JUSTIN PAUL WALKE PA 4624

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