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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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MASSIE, NICOLE MARIE       
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: MERCY
INTERVENTIONAL RADIOLOGY
4300 W. MEMORIAL RD.
OKLAHOMA CITY OK 73120

Address last updated on 6/14/2024
Phone #: (405) 752-3324
Fax #: (405) 752-3454
County: OKLAHOMA
License: 2727
Dated: 1/26/2017
Expires: 3/31/2025
Temp. Ltr. Issued: 12/29/2016
Temp. Ltr. Expires: 3/2/2017
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:
MERCY
INTERVENTIONAL RADIOLOGY
4300 W. MEMORIAL RD.
OKLAHOMA CITY OK 73120

Phone #: (405) 752-3324
Fax #: (405) 752-3454

Hospital Privileges:

Mercy Hospital OKC
Oklahoma City, OK

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
TONY ABDO MD 31330
MOHAMMAD NAJIM AHMAD ALBERAWI MD 35966
HIMANSHU BHARDWAJ MD 27085
FAWAD ALEEM CHAUDRY MD 33514
FAROOQ AKRAM CHOUDHRY MD 32792
Keri S. Conner DO 4388
Benjamin Cornwell DO 4748
CORY DAMON CROSS MD 24478
SALIM DAOUK MD 33471
SEAN GILLES DUGUAY MD 30021
TIMOTHY AARON GRAHAM MD 31435
BRIAN SCOTT HAILEY MD 31417
Maha Marwan Jarmakani DO 5575
JAD KEBBE MD 31942
JEAN I. KEDDISSI MD 20091
ANJALI LAL MD 34012
KHAIRUDDIN MEMON MD 33598
JORDAN PATRICK METCALF MD 19249
ANDREW JUSTIN RAY MOORE MD 32304
MURALI KRISHNAN NAGARAJAN MD 33879
KYLE RAUL SIERRA MD 38449
BRYAN LEE VAN ZANDT MD 30458
WILLIAM BRIAN VANLANDINGHAM MD 30657
HUIMIN WU MD 34067
HOUSSEIN ABBASS YOUNESS MD 24362

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