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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Wednesday, December 18, 2024 6:43 PM CST
Next Update: Thursday, December 19, 2024 2:50 AM CST

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NANDYAL, RAJAGOPAL R.       
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: 1200 EVERETT DRIVE
7TH FLOOR NORTH PAVILION
OKLAHOMA CITY OK 73104-8339

Address last updated on 7/5/2023
Phone #: (405) 271-5215
Fax #: (405) 271-1236
County: OKLAHOMA
License: 11599
Dated: 11/30/1977
Expires: 11/1/2025
License Type: Medical Doctor
Specialty: Neonatal-Perinatal Medicine
Pediatrics
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: YES
Medical School: Andhra Med Coll, NTR Univ of Med Sci, Visakhapatnam, AP, India
Graduated: 11 / 1970
CME Year: 2027
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 PEDIATRICS
AMERICAN BOARD OF PEDIATRICS - Neonatal-Perinatal Medicine
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: Aetna HMO
CIGNA HMO
SoonerCare PPO
Tricare Standard
United Healthcare Choice
United Healthcare HMO
Hospital Privileges: OU Health Medical Center
Oklahoma City, OK
Locations: Hours: Languages:
1200 EVERETT DRIVE
7TH FLOOR NORTH PAVILION
OKLAHOMA CITY OK 73104-8339

Phone #: (405) 271-5215
Fax #: (405) 271-1236
Mon: ON CALL 24 HOURS.
Tue:
Wed:
Thu:
Fri:
Sat:
Sun: ONLY HOSPITAL BASED PRACTICE
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
CARLA HETHERINGTON APRN 47510
ANGELIKA HOOKO APRN 88037
AFTIN JOHNSTON APRN 92416

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