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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Monday, December 23, 2024 3:49 AM CST
Next Update: Monday, December 23, 2024 12:00 PM CST

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PHAM, UYEN KIM       
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: 5200 E INTERSTATE 240 SERVICE RD
OKLAHOMA CITY OK 73135

Address last updated on 6/12/2024
Phone #: (405) 752-3953
Fax #:
County: OKLAHOMA
License: 2735
Dated: 1/26/2017
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:
5200 E INTERSTATE 240 SERVICE RD
OKLAHOMA CITY OK 73135

Phone #: (405) 752-3953
Fax #:

Hospital Privileges:

INTEGRIS Baptist Medical Center
Oklahoma City, OK
INTEGRIS Southwest Medical Center
Oklahoma City, OK
Mercy Hospital OKC
Oklahoma City, OK
Mercy Hospital OKC South
Oklahoma City, OK

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
CHAD LANDON GARMANY MD 26511
Rebecca Michelle Gupton DO 6175
STEPHEN AKIRA HOPKINS MD 24615
JEFFERY RANDALL PRUITT MD 23454
FNU RABEL MD 33789
SUSHEEL REDDY RAMASAHAYAM MD 29426
RICHARD ORDONEZ SANTOS MD 26397

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