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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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WONG, ANDREW       
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: OU HEALTH
700 NE 13TH ST
OKLAHOMA CITY OK 73104

Address last updated on 2/11/2024
Phone #: (405) 271-6173
Fax #: (405) 271-5892
County: OKLAHOMA
License: 3079
Dated: 8/20/2019
Expires: 3/31/2025
Temp. Ltr. Issued: 8/8/2019
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:
OU HEALTH
700 NE 13TH ST
OKLAHOMA CITY OK 73104

Phone #: (405) 271-6173
Fax #: (405) 271-5892

Hospital Privileges:

OU Health Medical Center
Oklahoma City, OK

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
TONY ABDO MD 31330
AHMAD AL-AWWAD MD 30573
RONALD ALVARADO DYER MD 41754
HIMANSHU BHARDWAJ MD 27085
BRENT REIFF BROWN MD 15270
FAWAD ALEEM CHAUDRY MD 33514
CORY DAMON CROSS MD 24478
SALIM DAOUK MD 33471
JAD KEBBE MD 31942
JEAN I. KEDDISSI MD 20091
TAHA JAWAID KHAN MD 30817
JORDAN PATRICK METCALF MD 19249
JORGE GUY ORTIZ GARCIA MD 34444
ADAM STANISLAUS PRZEBINDA MD 30771
RWOOF AHMED RESHI MD 34120
PAMELA ROSE ROBERTS MD 24788
DANNY SAMKUTTY MD 31367
UTTAM VERMA MD 38065
HUIMIN WU MD 34067
HOUSSEIN ABBASS YOUNESS MD 24362

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