MAX, NATHAN ROBERT - Licensee Information

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Last Update: Thursday, December 19, 2024 3:44 AM CST
Next Update: Thursday, December 19, 2024 12:00 PM CST

MAX, NATHAN ROBERT

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:	OKLAHOMA CITY VA HEALTHCARE SYSTEM 921 NE 13TH STREET 111 C OKLAHOMA CITY OK 73104 Address last updated on 6/12/2024
Phone #:	(405) 456-2544
Fax #:
County:	OKLAHOMA
License:	4561
Dated:	4/21/2021
Expires:	3/31/2025
Temp. Ltr. Issued:	3/25/2021
Temp. Ltr. Expires:	5/13/2021
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:
OKLAHOMA CITY VA HEALTHCARE SYSTEM 921 NE 13TH STREET 111 C OKLAHOMA CITY OK 73104 Phone #: (405) 456-2544 Fax #:

Hospital Privileges:

None listed

Name:	Type:	License Number:	Full/Part Time:
Primary Supervisor(s):
GEORGE KURDGELASHVILI	MD	22806

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