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Oklahoma Board of Medical Licensure and Supervision

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KHADER, SHAKEEL       
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: BAPTIST MEDICAL CENTER
200 SECOND AVENUE S.W.
MIAMI OK 74354
Phone #:
Fax #:
County: OTTAWA
License: 248
Dated: 3/8/1996
Expires: 10/31/1996
Temp. Ltr. Issued: 1/18/1996
Temp. Ltr. Expires: 3/23/1996
License Type: Provisional Dietitian
Specialty:
Status: Inactive
Status Class: Expired License
Restricted to:
CME Year:
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:
BAPTIST MEDICAL CENTER
200 SECOND AVENUE S.W.
MIAMI OK 74354

Phone #:
Fax #:

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