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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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HAGEMANN, MARY CARA       
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: OUHSC/CHILDRENS HOSPITAL
1200 CHILDREN'S AVENUE A2-14702
OKLAHOMA CITY OK 73104

Address last updated on 3/14/2024
Phone #: (405) 271-4412
Fax #: (405) 271-3474
County: OKLAHOMA
License: 1705
Dated: 4/1/2008
Expires: 3/31/2025
Temp. Ltr. Issued: 3/6/2008
Temp. Ltr. Expires: 5/17/2008
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:
OUHSC/CHILDRENS HOSPITAL
1200 CHILDREN'S AVENUE A2-14702
OKLAHOMA CITY OK 73104

Phone #: (405) 271-4412
Fax #: (405) 271-3474

Hospital Privileges:

OU Health Medical Center
Oklahoma City, OK

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
ASHLEY ANN BAKER MD 27667
KISHA AZIZ BEG MD 33975
JOHN KIMBLE FRAZER MD 29167
OSMAN KHAN MD 28138
RENE' YVONNE MCNALL-KNAPP MD 22501
HANUMANTHA RAO POKALA MD 27682
LAURA MARIE ROOMS MD 20770
ARPAN ARUNKUMAR SINHA MD 33199
ANAND SRINIVASAN MD 32859

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