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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Saturday, December 21, 2024 3:49 AM CST
Next Update: Saturday, December 21, 2024 12:00 PM CST

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KHAN, GULAM ASHFAQ H       
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: 5400 N. GRAND BLVD STE 260
OKLAHOMA CITY OK 73112-5705

Address last updated on 12/2/2024
Phone #: (858) 546-3800
Fax #:
County: OKLAHOMA
License: 35609
Dated: 4/15/2020
Expires: 11/1/2025
License Type: Medical Doctor
Specialty: Diagnostic Radiology
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: Osmania Med Coll, NTR Univ of Hlth Sci, Hyderabad, AP, India
Graduated: 4 / 1980
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 RADIOLOGY (Diagnostic Radiology specific)
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
5400 N. GRAND BLVD STE 260
OKLAHOMA CITY OK 73112-5705

Phone #: (858) 546-3800
Fax #:
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:

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