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Oklahoma Board of Medical Licensure and Supervision

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Next Update: Thursday, December 19, 2024 2:50 AM CST

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JEGATHESAN, SUBRAMANIA       
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: 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)
Status: Inactive
Status Class: Deceased
Restricted to:
Registered to Dispense: YES
Medical School: Stanley Med Coll, Dr M G R Med Univ, Madras, TN, India
Graduated: 8 / 1963
CME Year: 2019
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 SURGERY
New Patients: No
Medicaid: No
Medicare: No
   
HMO/PPO: Aetna HMO
Aetna PPO
Preferred Community Choice
Hospital Privileges: None listed
Locations: Hours: Languages:
1705 E19TH
SUITE 701
TULSA OK 74104-5418

Phone #: (918) 748-7878
Fax #: (918) 749-7806

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