Oklahoma State SealOklahoma State Seal
Oklahoma Board of Medical Licensure and Supervision

Search Results

Last Update: Friday, November 22, 2024 8:19 AM CST
Next Update: Friday, November 22, 2024 12:00 PM CST

Return to Search Licensees page

GHANNAM, WASEEM       
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: 9101 PINEVILLE-MATHEWS RD R
PINEVILLE NC 28134

Address last updated on 10/23/2024
Phone #: (336) 406-9207
Fax #:
County: NOT OKLAHOMA
License: 34343
Dated: 12/26/2018
Expires: 12/1/2025
License Type: Medical Doctor
Specialty: Family Medicine
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: St Matthew's Univ-Grand Cayman
Graduated: 12 / 2008
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 FAMILY MEDICINE
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
9101 PINEVILLE-MATHEWS RD R
PINEVILLE NC 28134

Phone #: (336) 406-9207
Fax #:
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
JEFFREY ALLEN BRAND PA 1849
NATHAN WAYNE FITE PA 2309
JESSICA LANE GOMILLION PA 4509
CHIDI OBINANI APRN 11187
CATHERINE RENEE PAZOURECK PA 1723
JEFFREY DON PHILLIPS PA 740

Return to Search Licensees page