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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Wednesday, December 18, 2024 6:43 PM CST
Next Update: Thursday, December 19, 2024 2:50 AM CST

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DIAZ, NIKKIA JONELLE       
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: OKLAHOMA CITY VA HCS
921 NE 13TH ST
OKLAHOMA CITY OK 73104-5007

Address last updated on 5/2/2022
Phone #: (405) 456-2155
Fax #:
County: OKLAHOMA
License: 38505
Dated: 7/29/2021
Expires: 7/1/2023
License Type: Medical Doctor
Specialty: Infectious Disease
Internal Medicine
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of TX Southwestern Med Sch At Dallas SW Med Sch, Dallas Tx 75235
Graduated: 5 / 2013
CME Year: 2024
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
AMERICAN BOARD OF INTERNAL MEDICINE - Infectious Disease
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
OKLAHOMA CITY VA HCS
921 NE 13TH ST
OKLAHOMA CITY OK 73104-5007

Phone #: (405) 456-2155
Fax #:
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:

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