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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Sunday, December 22, 2024 6:44 PM CST
Next Update: Monday, December 23, 2024 2:50 AM CST

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CHAU, NONI       
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 BAPTIST MEDICAL CENTER
3300 NW EXPRESSWAY
OKLAHOMA CITY OK 73112

Address last updated on 11/22/2024
Phone #: (405) 949-3011
Fax #:
County: OKLAHOMA
License: 4948
Dated: 11/1/2022
Expires: 3/31/2025
Temp. Ltr. Issued: 10/6/2022
Temp. Ltr. Expires: 11/17/2022
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 BAPTIST MEDICAL CENTER
3300 NW EXPRESSWAY
OKLAHOMA CITY OK 73112

Phone #: (405) 949-3011
Fax #:

Hospital Privileges:

INTEGRIS Baptist Medical Center
Oklahoma City, OK
INTEGRIS Baptist Portland Ave (fmly Deaconess Hospital)
Oklahoma City, OK
INTEGRIS Baptist Regional Health Ctr.
Miami, OK
INTEGRIS Bass Baptist Health Center
Enid, OK
INTEGRIS Southwest Medical Center
Oklahoma City, OK
SSM Health St. Anthony Hospital - OKC
Oklahoma City, OK

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
THOMAS BRADLEY CLARK MD 28896
GERALD ALLEN ENGLISH III DO 5329
ABDUL RAZEK N. FTESI MD 28447
CHAD LANDON GARMANY MD 26511
TRACY A. KIDWELL DO 3809
RAVI DINESH PATEL MD 34000
FARHANA KARIM POLARA MDC 44216
JEFFERY RANDALL PRUITT MD 23454
SYED MUHAMMAD ZAHAIB QUADRI MD 43431
GARY DEAN RIGGS MD 20825
JHONSTANLEY SEARCY-SCHAEIDR DO 8490
Trung Tran DO 6852

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