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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Friday, November 22, 2024 1:58 PM CST
Next Update: Friday, November 22, 2024 4:30 PM CST

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CHENDRA, EDWIN       
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: INTEGRIS BAPTIST MEDICAL CENTER
3300 NORTHWEST EXPRESSWAY
OKLAHOMA CITY OK 73112

Address last updated on 3/26/2024
Phone #: (405) 949-3011
Fax #:
County: OKLAHOMA
License: 2241
Dated: 5/3/2013
Expires: 3/31/2025
Temp. Ltr. Issued: 1/25/2013
Temp. Ltr. Expires: 5/16/2013
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:
INTEGRIS BAPTIST MEDICAL CENTER
3300 NORTHWEST EXPRESSWAY
OKLAHOMA CITY OK 73112

Phone #: (405) 949-3011
Fax #:

Hospital Privileges:

None listed

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
JULIDE DURSUN AKMAN-CARMICHAEL MD 27739
JUBEL JHUN SULLANO BILBAO MD 25741
GERALD ALLEN ENGLISH III DO 5329
GREG FAIRLIE DO 3850
ABDUL RAZEK N. FTESI MD 28447
MARK ANDREW KEUCHEL DO 5580
MOBOLAJI OBAFUNMILOLA OLULADE MD 29128
Trung Tran DO 6852
Robert Treadwell DO 6913
WILLIAM LEE WELDEN MD 18917
Charles Tate Woodward DO 6548

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