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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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CHAN, DANIEL TAK CHI       
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: 6051 NORTH BROOKLINE AVE
138-B
OKLAHOMA CITY OK 73112

Address last updated on 5/6/2024
Phone #: (661) 477-9860
Fax #:
County: OKLAHOMA
License: 41131
Dated: 6/29/2023
Expires: 6/1/2025
License Type: Medical Doctor
Specialty: Family Medicine
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: American Univ Of The Caribbean, Sch Of Med, St Maarten, Netherlands Antille
Graduated: 4 / 2007
CME Year: 2026
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:
6051 NORTH BROOKLINE AVE
138-B
OKLAHOMA CITY OK 73112

Phone #: (661) 477-9860
Fax #:
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun: 8:00AM - 5:00PM COLLABORATING DOCTOR
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
SARINA HELTON APRN 14597
RUBILDO LABANINO APRN 17123
LAUREN WALTERS APRN 110068

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