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CHAINAKUL, WIT       
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: 3 E. BRIARWOOD ST.
SHAWNEE OK 74804

Address last updated on 11/3/2018
Phone #: (405) 664-4693
Fax #:
County: POTTAWATOMIE
License: 12549
Dated: 1/15/1980
Expires: 1/1/2019
License Type: Medical Doctor
Specialty: General Surgery
General Practice
Status: Inactive
Status Class: Physician Emeritus
Restricted to:
Registered to Dispense: NO
Medical School: Chulalongkorn Univ, Fac Of Med, Bangkok, Thailand
Graduated: 3 / 1970
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:
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
3 E. BRIARWOOD ST.
SHAWNEE OK 74804

Phone #: (405) 664-4693
Fax #:
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:

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