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Next Update: Thursday, December 19, 2024 12:00 PM CST

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MIAN, FAWAD AHMED       
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: EAGLE TELEMEDICINE
280 INTERSTATE NORTH CIR SE
#150
ATLANTA GA 30339

Address last updated on 11/22/2021
Phone #: (336) 327-9529
Fax #:
County: NOT OKLAHOMA
License: 37470
Dated: 12/21/2020
Expires: 12/1/2022
License Type: Medical Doctor
Specialty: Neurology
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: St George's Univ, Sch Of Med, St George's, Grenada
Graduated: 5 / 2004
CME Year: 2023
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 PSYCHIATRY AND NEUROLOGY
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
EAGLE TELEMEDICINE
280 INTERSTATE NORTH CIR SE
#150
ATLANTA GA 30339

Phone #: (336) 327-9529
Fax #:
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:

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