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Oklahoma Board of Medical Licensure and Supervision

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

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ANKLESARIA, MANEK EDALJI       
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: 4815 S HARVARD AVE
SUITE 203
TULSA OK 74135-3066

Address last updated on 3/2/2022
Phone #: (918) 745-9800 x9800
Fax #: (918) 730-9414
County: TULSA
License: 13574
Dated: 4/1/1982
Expires: 4/1/2025
License Type: Medical Doctor
Specialty: Ophthalmology
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: YES
Medical School: B J Med Coll, Gujarat Univ, Ahmedabad, Gujarat, India
Graduated: 3 / 1972
CME Year: 2025
Pending and/or Past Disciplinary Actions:
Date Action Reasons Remarks
10/1/1998 Probation Ended
10/1/1993 Probation
11/23/1992 Suspension, License
Board Filings and/or Orders:
03/18/1994
10/01/1993
08/25/1993
05/15/1993
05/07/1993
03/26/1993
02/02/1993
02/01/1993
11/21/1992
08/20/1992
08/19/1992
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Certifications: AMERICAN BOARD OF OPHTHALMOLOGY
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: Blue Cross Blue Shield-Blue Preferred
Blue Cross Blue Shield-Blue Traditional
Blue Cross Blue Shield-Plan 65 Select
BlueChoice PPO
BlueLincs HMO
CIGNA PPO
CommunityCare HMO, Inc
CommunityCare Senior HMO
Coventry Health Care National Network
Global Health HMO
HealthChoice
Humana ChoiceCare
Humana Medicare Advantage PPO
Humana Tricare/PGBA
Medicare Blue
OSMA Health (formerly Plico PPO)
Preferred Community Choice
SoonerCare HMO
SoonerCare PPO
Tricare Standard
United Healthcare Choice
United Healthcare EPO
United Healthcare HMO
United Healthcare Options PPO
United Healthcare POS
Worknet of Oklahoma
Hospital Privileges: None listed
Locations: Hours: Languages:
4815 S HARVARD AVE
SUITE 203
TULSA OK 74135-3066

Phone #: (918) 745-9800 x9800
Fax #: (918) 730-9414
Mon: NONE
Tue: BY APPOINTMNENT
Wed: BY APPOINTMNENT
Thu: BY APPOINTMNENT
Fri: NONE
Sat:
Sun:
Hindi
Sams club Store
71st Mingo road
Tulsa, OK 74133

Phone #: (918) 809-2020
Fax #: (12) 202-11
Mon: By Appointmnent
Tue: By Appointmnent
Wed: By Appointmnent
Thu: By Appointmnent
Fri: By Appointmnent
Sat: By Appointmnent
Sun: By Appointmnent
Hindi
Sams club Store
71st Mingo road
Tulsa, OK 74133

Phone #: (918) 809-2020
Fax #: (12) 202-11
Mon:
Tue: By Appointmnent 2.30 - 5.30
Wed:
Thu: By Appointmnent same
Fri:
Sat:
Sun:
Hindi

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