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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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JACOB, LIRIN KOZHY       
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: MERCY HOSPITAL
4300 W. MEMORIAL RD
OKLAHOMA CITY OK 73120

Address last updated on 5/27/2024
Phone #: (405) 752-3962
Fax #: (405) 752-3963
County: OKLAHOMA
License: 33985
Dated: 6/12/2018
Expires: 6/1/2025
License Type: Medical Doctor
Specialty: Internal Medicine
Family Medicine
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 / 2014
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:
MERCY HOSPITAL
4300 W. MEMORIAL RD
OKLAHOMA CITY OK 73120

Phone #: (405) 752-3962
Fax #: (405) 752-3963
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun: 7:00AM - 7:00PM
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
ELIZABETH MORGAN HADDOCK PA 2817
TAMMY SUE HOBBIE PA 2836
RINU ANN MATHEW PA 2999
MCKOTAH BRICE SMITH PA 4812
BRADLEY TAYLOR PA 4463

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