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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Friday, November 15, 2019 4:08 PM CST
Next Update: Saturday, November 16, 2019 2:50 AM CST

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REZAEI, ABOLGHASEM
Practice Address: 4121 WEST GORE BLVD
LAWTON OK 73505-6336

Address last updated on 5/2/2019
Phone #: (580) 699-5511
Fax #: (580) 699-5519
County: COMANCHE
License: 23655
Dated: 12/1/2005
Expires: 12/1/2020
License Type: Medical Doctor
Specialty: Family Medicine
Status: Active
Status Class: Fully Licensed
Restricted to: WRITTEN AGREEMENT
Registered to Dispense: YES
Medical School: Univ Di Pavia, Fac Di Med E Chirurgia, Pavia, Italy
Graduated: 7 / 1995
CME Year: 2020
Disciplinary History:
Date Action Reasons Remarks
4/30/2019 Complaint Citation Allegations as Listed in the Complaint
Violated Board Order
Failure to comply with terms of Agreement.
6/30/2017 Agreement
6/30/2017 Probation Ended
9/12/2013 Probation CDS Violation
6/14/2013 Complaint Citation CDS Violation
Board Orders:
10/23/2019
04/30/2019
04/30/2019
07/07/2017
09/12/2013
07/11/2013
06/14/2013
06/14/2013
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Certifications:
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: Aetna Elect Choice
Aetna HMO
Aetna Managed Choice
Aetna PPO
AmCare Health Plans of Oklahoma, Inc (formerly Foundation Health)
BCE Emergis
Beechstreet PPO
Blue Cross Blue Shield-Blue Preferred
Blue Cross Blue Shield-Blue Traditional
Blue Cross Blue Shield-Plan 65 Select
Blue Works Workers Comp
BlueChoice PPO
BlueLincs HMO
CCN Managed Care
Champ VA
CIGNA HMO
CIGNA PPO
CommunityCare HMO, Inc
CommunityCare Senior HMO
CompMed
Coventry Health Care National Network
Dept of Rehabilitation Services (DRS)
Evolutions Healthcare
First Health
Focus Healthcare
Galaxy Health Network
Global Health HMO
Great West Healthcare
Guidestar Health Systems
Health Smart Preferred Care (HSPC)
HealthChoice
Heartland Health Plan of Oklahoma
Humana ChoiceCare
Humana Medicare Advantage PPO
Humana Tricare/PGBA
Medicare Blue
Multiplan PPO
National Preferred Provider Network (NPPN)
Oklahoma Health Network PPO
One Health Plan PPO
OSMA Health (formerly Plico PPO)
Pacificare Commercial HMO
PacifiCare of Oklahoma, Inc
Perfect Harmony HMO
PHCS (Private Healthcare Systems)
Physicians Direct Network
PPO Oklahoma
PPO USA
Preferred Community Choice
Preferred Health Network-ppoNEXT
Prime Advantage Health Plan
Private Healthcare Systems (PHCS)
Pronet
Prudential Health Care Plan, Inc
Railroad Medicare
Secure Horizons HMO
SoonerCare HMO
SoonerCare PPO
Sparks Premiercare
Texas Medicaid
Tricare for Life
Tricare Standard
Tyson Preferred Network (TPN)
UniCare Health Plans of Oklahoma
United Healthcare Choice
United Healthcare EPO
United Healthcare HMO
United Healthcare Options PPO
United Healthcare POS
United Insurance
USA Managed Care
Welcor/Sooner
Worknet of Oklahoma
Hospital Privileges: None listed
Locations: Hours: Languages:
4121 WEST GORE BLVD
LAWTON OK 73505-6336

Phone #: (580) 699-5511
Fax #: (580) 699-5519
Mon: 9:00AM - 7:00PM
Tue: 9:00AM - 7:00PM
Wed: 9:00AM - 7:00PM
Thu: 9:00AM - 7:00PM
Fri: 9:00AM - 7:00PM
Sat: 10:00AM - 5:00PM
Sun:

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