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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Friday, November 22, 2024 3:47 AM CST
Next Update: Friday, November 22, 2024 12:00 PM CST

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PENTECOST, KATHARINE IMPELLITIER       
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: OU HEALTH SLEEP CLINIC.
105 S BRYANT ST
SUITE 105
EDMOND OK 73034

Address last updated on 5/9/2024
Phone #: (405) 359-5403
Fax #: (405) 708-6167
County: OKLAHOMA
License: 2343
Dated: 1/23/2014
Expires: 3/31/2025
Temp. Ltr. Issued: 12/20/2013
Temp. Ltr. Expires: 4/1/2014
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:
OU HEALTH SLEEP CLINIC.
105 S BRYANT ST
SUITE 105
EDMOND OK 73034

Phone #: (405) 359-5403
Fax #: (405) 708-6167

Hospital Privileges:

OU Health Medical Center
Oklahoma City, OK

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
TONY ABDO MD 31330
AHMED AWAB MD 23639
HIMANSHU BHARDWAJ MD 27085
BRENT REIFF BROWN MD 15270
FAWAD ALEEM CHAUDRY MD 33514
SALIM DAOUK MD 33471
Shannon Foster DO 7445
MAIDA HAFIZ MD 38020
JAD KEBBE MD 31942
JEAN I. KEDDISSI MD 20091
TAHA JAWAID KHAN MD 30817
JORDAN PATRICK METCALF MD 19249
ADAM STANISLAUS PRZEBINDA MD 30771
HUIMIN WU MD 34067
HOUSSEIN ABBASS YOUNESS MD 24362

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