OKOLONWAMU, NGOZI ROSEMARY - Licensee Information

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

OKOLONWAMU, NGOZI ROSEMARY

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:	COMPREHENSIVE INFECTIOUS DISEASE CENTER 8803 S 101ST EAST AVE #350 TULSA OK 74133 Address last updated on 3/30/2024
Phone #:	(918) 615-3750
Fax #:	(918) 615-3751
County:	TULSA
License:	1633
Dated:	5/31/2007
Expires:	3/31/2025
License Type:	Physician Assistant
Specialty:

Status:	Active
Status Class:	Fully Licensed
Restricted to:
CME Year:	2025

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.

Locations:	Hours:	Languages:
COMPREHENSIVE INFECTIOUS DISEASE CENTER 8803 S 101ST EAST AVE #350 TULSA OK 74133 Phone #: (918) 615-3750 Fax #: (918) 615-3751

Hospital Privileges:

None listed

Name:	Type:	License Number:	Full/Part Time:
Primary Supervisor(s):
PETER AZUKA OKWUASABA	MD	25303

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