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Next Update: Monday, April 29, 2024 4:30 PM CDT

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FASAN, OMOTAYO OLUSOLA
Practice Address: LEVINE CANCER INSTITUTE CAROLINAS HEALTHCARE
1021 MOREHEAD MEDICAL DRIVE
SUITE 5300
CHARLOTTE NC 28204-2993

Address last updated on 3/20/2016
Phone #: (980) 442-4000
Fax #:
County: NOT OKLAHOMA
License: 31277
Dated: 4/13/2015
Expires: 4/1/2016
License Type: Medical Doctor
Specialty: Hematology (Internal Medicine)
Internal Medicine
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of Lagos, Coll Of Med, Lagos, Nigeria
Graduated: 8 / 1995
CME Year: 2018
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.
Certifications: AMERICAN BOARD OF INTERNAL MEDICINE
AMERICAN BOARD OF INTERNAL MEDICINE - Hematology
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
LEVINE CANCER INSTITUTE CAROLINAS HEALTHCARE
1021 MOREHEAD MEDICAL DRIVE
SUITE 5300
CHARLOTTE NC 28204-2993

Phone #: (980) 442-4000
Fax #:

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