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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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DAVE, DEENA
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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.
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| Practice Address: |
1202 S W 67TH ST.
SUITE 2 & 3
LAWTON OK 73505-1252
Address last updated on 2/20/2024 |
| Phone #: |
(580) 284-0000 |
| Fax #: |
(580) 284-1000 |
| County: |
COMANCHE |
| License: |
14395 |
| Dated: |
3/27/1984 |
| Expires: |
3/1/2025 |
| License Type: |
Medical Doctor |
| Specialty: |
Family Medicine
Geriatric Medicine (Family Practice) |
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| Status: |
Active |
| Status Class: |
Fully Licensed |
| Restricted to: |
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| Registered to Dispense: |
NO |
| Medical School: |
M P Shah Med Coll, Saurashtra Univ, Jamnagar, Gujarat, India |
| Graduated: |
1 /
1977 |
| CME Year: |
2025 |
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Pending and/or Past Disciplinary Actions:
No Disciplinary Action Taken.
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All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
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| Certifications: |
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| New Patients: |
Yes |
| Medicaid: |
No |
| Medicare: |
Yes |
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| HMO/PPO: |
Aetna Elect Choice
Aetna HMO
Aetna PPO
Beechstreet PPO
Blue Cross Blue Shield-Blue Preferred
Blue Cross Blue Shield-Blue Traditional
Blue Cross Blue Shield-Plan 65 Select
BlueChoice PPO
Champ VA
CIGNA HMO
CIGNA PPO
CommunityCare HMO, Inc
First Health
Global Health HMO
Health Smart Preferred Care (HSPC)
HealthChoice
Heartland Health Plan of Oklahoma
Medicare Blue
OSMA Health (formerly Plico PPO)
Pacificare Commercial HMO
Physicians Direct Network
Preferred Community Choice
Prudential Health Care Plan, Inc
SoonerCare PPO
Tricare for Life
Tricare Standard
United Healthcare Choice
United Healthcare HMO |
| Hospital Privileges: |
Comanche County Memorial Hospital
Lawton, OK
Southwestern Medical Center
Lawton, OK
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