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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Monday, December 23, 2024 3:49 AM CST
Next Update: Monday, December 23, 2024 12:00 PM CST

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BEG, KISHA AZIZ       
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 AVE
A2-14702
OKLAHOMA CITY OK 73104

Address last updated on 6/24/2024
Phone #:
Fax #:
County: OKLAHOMA
License: 33975
Dated: 7/16/2018
Expires: 7/1/2025
License Type: Medical Doctor
Specialty: Pediatrics
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: Aga Khan Med Coll, Aga Khan Univ, Karachi, Pakistan
Graduated: 9 / 2013
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 PEDIATRICS
AMERICAN BOARD OF PEDIATRICS - Pediatric Hematology-Oncology
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
1200 CHILDRENS AVE
A2-14702
OKLAHOMA CITY OK 73104

Phone #:
Fax #:
Mon: 8:00AM - 4:30PM
Tue: 8:00AM - 4:30PM
Wed: 8:00AM - 4:30PM
Thu: 8:00AM - 4:30PM
Fri: 8:00AM - 4:30PM
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
LAUREN FAITH ACKLIN PA 2192
EMILY BRALY APRN 116174
KRISTEN RENE' BRANNAN PA 1977
RONISHA JAMELLE CARPENTER PA 2397
ABBIE NICOLE DAVIS PA 4645
THERESA LYNN GAVULA PA 1312
MELISSA LEANN GLEASON PA 2466
LINDSEY GOODNIGHT PA 2376
MARY CARA HAGEMANN PA 1705
SARAH MUMY HAWK PA 526
RACHEL POSEY APRN 60302
REBECCA SMITH APRN 114448

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