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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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BISTA, BISHAL       
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: SOUTHWESTERN MEDICAL CENTER
5602 SW LEE BLVD
LAWTON OK 73505

Address last updated on 12/16/2024
Phone #: (580) 531-4700
Fax #:
County: COMANCHE
License: 5389
Dated: 10/28/2024
Expires: 3/31/2025
Temp. Ltr. Issued: 8/7/2024
Temp. Ltr. Expires: 11/21/2024
License Type: Physician Assistant
Specialty:
Status: Active
Status Class: Fully Licensed
Restricted to:
CME Year: 2026
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:
SOUTHWESTERN MEDICAL CENTER
5602 SW LEE BLVD
LAWTON OK 73505

Phone #: (580) 531-4700
Fax #:

Hospital Privileges:

Southwestern Medical Center
Lawton, OK

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
FARHANA KARIM POLARA MDC 44216
DARREN ALAN THOMAS MD 22449

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