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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Monday, December 23, 2024 1:13 PM CST
Next Update: Monday, December 23, 2024 4:30 PM CST

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FARUKHI, MOHAMMAD AZAM       
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: 2821 36TH AVE NW
SUITE 200
NORMAN OK 73072-1810

Address last updated on 4/22/2024
Phone #: (405) 735-2049
Fax #:
County: CLEVELAND
License: 34011
Dated: 6/12/2018
Expires: 6/1/2025
License Type: Medical Doctor
Specialty: General Surgery
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: Tx Tech Univ Hlth Sci Ctr Sch Of Med, Lubbock Tx 79430
Graduated: 5 / 2011
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 SURGERY
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
2821 36TH AVE NW
SUITE 200
NORMAN OK 73072-1810

Phone #: (405) 735-2049
Fax #:
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
KERRI ANN BAKER PA 2327
WINTER TERESA BATHE' PA 1420
LARA ERIN GREEN PA 1235
AMANDA NICOLE LEWIS PA 1804

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