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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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STRETESKY, SAMANTHA D.       
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: UNIVERSITY OF OKLAHOMA MEDICAL CENTER - EDMOND
1 S BRYANT AVE
EDMOND OK 73034

Address last updated on 10/13/2024
Phone #: (405) 341-6100
Fax #:
County: OKLAHOMA
License: 4449
Dated: 11/2/2020
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:
UNIVERSITY OF OKLAHOMA MEDICAL CENTER - EDMOND
1 S BRYANT AVE
EDMOND OK 73034

Phone #: (405) 341-6100
Fax #:

Hospital Privileges:

None listed

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
AMGAD MOHAMMED HALEEM AHMED AMIN MD 31172
CHARLES ANDREW HOGAN MD 28579
RISHI THAKRAL MD 30860
SANTARAM VALLURUPALLI MD 30833
CHRISTOPHER BYBEE WHITE MD 24780

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