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Next Update: Thursday, December 19, 2024 2:50 AM CST
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NGUYEN, DAN THACH DAM
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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.
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| Practice Address: |
1023 WATERWOOD PARKWAY
EDMOND OK 73034
Address last updated on 5/2/2024 |
| Phone #: |
(405) 601-2325 |
| Fax #: |
(405) 497-6074 |
| County: |
OKLAHOMA |
| License: |
33676 |
| Dated: |
6/21/2018 |
| Expires: |
6/1/2025 |
| License Type: |
Medical Doctor |
| Specialty: |
Radiology
Pain Medicine
Neuroradiology |
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| Status: |
Active |
| Status Class: |
Fully Licensed |
| Restricted to: |
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| Registered to Dispense: |
NO |
| Medical School: |
Univ Of Pittsburgh Sch Of Med, Pittsburgh Pa 15261 |
| Graduated: |
5 /
1994 |
| CME Year: |
2027 |
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Pending and/or Past Disciplinary Actions:
No Disciplinary Action Taken.
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All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
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| Certifications: |
AMERICAN BOARD OF RADIOLOGY
AMERICAN BOARD OF RADIOLOGY - Neuroradiology |
| New Patients: |
Yes |
| Medicaid: |
Yes |
| Medicare: |
Yes |
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| HMO/PPO: |
Aetna Elect Choice
Aetna HMO
Aetna Managed Choice
Aetna PPO
Blue Cross Blue Shield-Blue Preferred
Blue Cross Blue Shield-Blue Traditional
Blue Cross Blue Shield-Plan 65 Select
BlueChoice PPO
BlueLincs HMO
CIGNA HMO
CIGNA PPO
Coventry Health Care National Network
Great West Healthcare
HealthChoice
Humana ChoiceCare
Humana Medicare Advantage PPO
Multiplan PPO
PHCS (Private Healthcare Systems)
PPO Oklahoma
SoonerCare PPO
Tricare Standard
United Healthcare Choice
United Healthcare EPO
United Healthcare Options PPO
United Healthcare POS |
| Hospital Privileges: |
INTEGRIS Baptist Medical Center
Oklahoma City, OK
INTEGRIS Edmond
Edmond, OK
Norman Regional Hospital
Norman, OK
Oklahoma Center for Orthopaedic & Multi-Specialty Surgery
Oklahoma City, OK
Oklahoma Spine Hospital
Oklahoma City, OK
Summit Medical Center
Edmond, OK
Surgical Hospital of Oklahoma
Oklahoma City, OK
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| Locations: |
Hours: |
Languages: |
1023 WATERWOOD PARKWAY
EDMOND OK 73034
Phone #:
(405) 601-2325
Fax #:
(405) 497-6074 |
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: 8:00AM - 4:30PM |
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307 East Danforth Road
Suite 148
Edmond, OK 73034
Phone #:
(405) 930-3376
Fax #:
(2) 202- |
Mon:
Tue: 11:00AM - 7:00PM
Wed: 11:00AM - 7:00PM
Thu: 11:00AM - 7:00PM
Fri: 11:00AM - 5:00PM
Sat: 11:00AM - 5:00PM By appointment only.
Sun: |
Vietnamese |
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