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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Wednesday, December 18, 2024 6:43 PM CST
Next Update: Thursday, December 19, 2024 2:50 AM CST

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MATHEW, ANGEL       
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 STEPHENSON CANCER CENTER
800 NE 10TH STREET
OKLAHOMA CITY OK 73104

Address last updated on 3/18/2024
Phone #: (405) 271-4022
Fax #:
County: OKLAHOMA
License: 3134
Dated: 1/21/2020
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:
OU HEALTH STEPHENSON CANCER CENTER
800 NE 10TH STREET
OKLAHOMA CITY OK 73104

Phone #: (405) 271-4022
Fax #:

Hospital Privileges:

None listed

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
SAMI IBRAHIM MAHMUD IBRAHIMI MD 31318
ALEXANDRA POPOVITCH IKEGUCHI MD 22811
MOHAMAD OSAMA KHAWANDANAH MD 26374
FORREST CLIFTON LAWRENCE II MD 13145
CARRIE HAU LAI YUEN MD 29435

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