Oklahoma State SealOklahoma State Seal
Oklahoma Board of Medical Licensure and Supervision

Search Results

Last Update: Thursday, December 19, 2024 3:44 AM CST
Next Update: Thursday, December 19, 2024 12:00 PM CST

Return to Search Licensees page

DUTTA, SAKUNTALA SESHACHALAM       
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: 4908 WISTERIA DR.
OKLAHOMA CITY OK 73142

Address last updated on 9/27/2021
Phone #: (405) 751-6619
Fax #:
County: OKLAHOMA
License: 12929
Dated: 10/3/1980
Expires: 10/1/2022
License Type: Medical Doctor
Specialty: RADIOLOGY, THERAPEUTIC
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: YES
Medical School: Guntur Med Coll, NTR Univ of Hlth Sci, Guntur, A P, India
Graduated: 10 / 1966
CME Year: 2024
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: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: None listed
Hospital Privileges: Ascension St. John Medical Center
Tulsa, OK
Hospital Not Listed
,
Locations: Hours: Languages:
4908 WISTERIA DR.
OKLAHOMA CITY OK 73142

Phone #: (405) 751-6619
Fax #:
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
Chinese (Mandarin)

Return to Search Licensees page