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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Sunday, December 22, 2024 1:13 PM CST
Next Update: Sunday, December 22, 2024 4:30 PM CST

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TOMLIN, RACHEL BREANNE       
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
3300 NW EXPRESSWAY
OKLAHOMA CITY OK 73112

Address last updated on 4/24/2024
Phone #: (405) 275-9004
Fax #:
County: OKLAHOMA
License: 2421
Dated: 12/12/2014
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:
INTEGRIS BAPTIST
3300 NW EXPRESSWAY
OKLAHOMA CITY OK 73112

Phone #: (405) 275-9004
Fax #:

Hospital Privileges:

INTEGRIS Baptist Medical Center
Oklahoma City, OK
SSM St Anthony Midwest Regional Medical Center
Midwest City, OK

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
MIRIAM CRISTINA ANTTILA MD 33666
CURTIS ERROL BALL DO 3932
ANDREW FENNELL BARSALOUX MD 20771
MAYSAM BEHZAD-NOORI MD 32909
Jimmy Dinh Bui DO 5951
JACK D. BUTLER DO 2084
KRYSTINA LYNN CADENHEAD MD 29326
JODILYN NICOLAS CAGUIOA-AQUINO MD 26382
THOMAS BRADLEY CLARK MD 28896
GLENN DAVIS MD 38899
Lesley Duffie DO 6088
ALEX AGYEI DWUMA MD 29099
GERALD ALLEN ENGLISH III DO 5329
SAMAR ALI FARGHALY MD 29788
ABDUL RAZEK N. FTESI MD 28447
TENEY VARUGHESE JOHN MD 27754
Joel Jones DO 7926
TARIQ ASADULLAH KHAN MD 33459
LAKSHMI KOLLI MD 34544
KISHORE KUMAR MD 25877
SIDNEY THU LE MD 32342
KATHERINE BAERWALD MANSALIS MD 33463
SAMUEL GENE MARTIN MD 25859
MARY ANN VENITA MIRANDA MD 25323
ALI ABDEL MAJID MOHAMMAD MD 10993
SRIKANTH NALLACHERU MD 27021
Chris Nguyen DO 6714
LONG THANH NGUYEN MD 20102
TROY RAY NORRED MD 20073
JORGE GUY ORTIZ GARCIA MD 34444
JARED KEITH PEMBROOK MD 32214
GARY DEAN RIGGS MD 20825
CHARLES MICHAEL ROGERS MD 20753
MUHAMMAD ZEESHAN SIDDIQUI MD 33077
JAY JOSHUA SNELL MD 26502
Christopher J. Snyder DO 5627
KAREN KAY SWISHER MD 24053
ALI TIPU MD 29797
Trung Tran DO 6852
JOHN DAVID WILKINSON MD 14808
YUAN ZHANG MD 34952

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