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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Monday, December 23, 2024 6:44 PM CST
Next Update: Tuesday, December 24, 2024 2:50 AM CST

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LOVE, LINDSEY       
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 CARDIOLOGYSOUTHWEST
4221 S WESTERN AVE
OKLAHOMA CITY OK 73109
Address last updated on 3/20/2024
Phone #: (405) 644-5120
Fax #:
County: OKLAHOMA
License: 3069
Dated: 8/20/2019
Expires: 3/31/2025
Temp. Ltr. Issued: 6/28/2019
Temp. Ltr. Expires: 9/12/2019
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 CARDIOLOGYSOUTHWEST
4221 S WESTERN AVE
OKLAHOMA CITY OK 73109
Phone #: (405) 644-5120
Fax #:

Hospital Privileges:

INTEGRIS Baptist Medical Center
Oklahoma City, OK
INTEGRIS Community Hospital in Del City
Del City, OK
INTEGRIS Community Hospital in Moore
Moore, OK
INTEGRIS Southwest Medical Center
Oklahoma City, OK
Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
ADAM GLEN BURROUGHS MD 31974
ZEESHAN AKHTAR KHAN MD 27098
GEORGE MADDEN MD 26357
RYAN NORRIS DO 5508
RONALD GLEN WOODSON MD 11832

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