NGUYEN, HOAI TIEN - 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

NGUYEN, HOAI TIEN

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:	OKLAHOMA CITY INDIAN CLINIC 309 S ANN ARBOR AVE OKLAHOMA CITY OK 73128 Address last updated on 7/11/2024
Phone #:	(405) 948-4900
Fax #:
County:	OKLAHOMA
License:	2722
Dated:	1/26/2017
Expires:	3/31/2025
Temp. Ltr. Issued:	12/13/2016
Temp. Ltr. Expires:	3/3/2017
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:
OKLAHOMA CITY INDIAN CLINIC 309 S ANN ARBOR AVE OKLAHOMA CITY OK 73128 Phone #: (405) 948-4900 Fax #:

Hospital Privileges:

None listed

Name:	Type:	License Number:
Primary Supervisor(s):
MARIANNE INGELS BACHARACH	MD	21693
TYLER SCOTT FREEMAN	MD	32298
TAIMUR IQBAL PARACHA	MD	29682

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