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IDRISOV, EVGENY A       
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: THE UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
ANDREWS ACADEMIC TOWER SUITE 7426
800 STANTON L. YOUNG BLVD
OKLAHOMA CITY OK 73104

Address last updated on 5/11/2021
Phone #: (405) 271-8001
Fax #: (405) 271-5803
County: OKLAHOMA
License: 34926
Dated: 7/1/2019
Expires: 7/1/2022
License Type: Medical Doctor
Specialty: Internal Medicine
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: YES
Medical School: FL STATE UNIV COLL OF MED, TALLAHASSEE FL 32306
Graduated: 5 / 2015
CME Year: 2022
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:
THE UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
ANDREWS ACADEMIC TOWER SUITE 7426
800 STANTON L. YOUNG BLVD
OKLAHOMA CITY OK 73104

Phone #: (405) 271-8001
Fax #: (405) 271-5803
Mon:
Tue:
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Thu:
Fri:
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Sun:

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