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JEGATHESAN, SUBRAMANIA
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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.
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Practice Address: |
1705 E19TH
SUITE 701
TULSA OK 74104-5418
Address last updated on 5/4/2016 |
Phone #: |
(918) 748-7878 |
Fax #: |
(918) 749-7806 |
County: |
TULSA |
License: |
10214 |
Dated: |
6/17/1974 |
Expires: |
6/1/2018 |
License Type: |
Medical Doctor |
Specialty: |
Pediatric Surgery (Surgery) |
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Status: |
Inactive |
Status Class: |
Deceased |
Restricted to: |
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Registered to Dispense: |
YES |
Medical School: |
Stanley Med Coll, Dr M G R Med Univ, Madras, TN, India |
Graduated: |
8 /
1963 |
CME Year: |
2019 |
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Pending and/or Past Disciplinary Actions:
No Disciplinary Action Taken.
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All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
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Certifications: |
AMERICAN BOARD OF SURGERY |
New Patients: |
No |
Medicaid: |
No |
Medicare: |
No |
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HMO/PPO: |
Aetna HMO
Aetna PPO
Preferred Community Choice |
Hospital Privileges: |
None listed |
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