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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Monday, April 22, 2024 6:57 PM CDT
Next Update: Tuesday, April 23, 2024 2:50 AM CDT

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HART, PAUL LAWRENCE
Practice Address: KIDNEY SPECIALIST OF CENTRAL OKLAHOMA
3366 NW EXPRESSWAY BLDG-D STE 550
OKLAHOMA CITY OK 73112-4489

Address last updated on 3/29/2024
Phone #: (405) 942-5442
Fax #:
County: OKLAHOMA
License: 2007
Dated: 5/6/2011
Expires: 3/31/2025
Temp. Ltr. Issued: 4/8/2011
Temp. Ltr. Expires: 5/20/2011
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:
KIDNEY SPECIALIST OF CENTRAL OKLAHOMA
3366 NW EXPRESSWAY BLDG-D STE 550
OKLAHOMA CITY OK 73112-4489

Phone #: (405) 942-5442
Fax #:

Hospital Privileges:

INTEGRIS Baptist Medical Center
Oklahoma City, OK
INTEGRIS Canadian Valley Regional Hospital
Yukon, OK
INTEGRIS Deaconess Campus (fmly Deaconess Hospital)
Oklahoma City, OK
INTEGRIS Edmond
Edmond, OK
INTEGRIS Southwest Medical Center
Oklahoma City, OK
Select Specialty Hospital-OKC
Oklahoma City, OK

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
ALY M.ELSEBAI ALY MD 19742
SHEHZAD JAFFER BANDHANI MD 29134
ANGELA DENE' BOLZ DO 4505
GARY DEAN BOND MD 16974
BRADLEY DEAN CARTER MD 21578
LAXMI NARAYANA RAO GADDE MD 25313
JAWAID AHMED JAMAL MD 24582
SUDHIR KUMAR KHANNA MD 18130
BRADLEY THOMAS LONG MD 34999
GURUPRASAD MANJUNATH MD 27494
SUJAN PATHAK MD 32023
LAURA ISAACS RANKIN MD 12786
MAMOON RASHEED MD 31845
PATRICK BRONSON REEVES MD 34129
DAVID THOMPSON DO 4033

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