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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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D'SOUZA, LIPHARD OSWALD       
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: 4636 SOUTH HARVARD AVE
TULSA OK 74135

Address last updated on 11/24/2020
Phone #: (918) 708-1816
Fax #: (918) 608-1793
County: TULSA
License: 15158
Dated: 1/31/1986
Expires: 1/1/2026
License Type: Medical Doctor
Specialty: Neurology
Clinical Neurophysiology
Pediatrics
Sleep Medicine
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: YES
Medical School: St. John'S Med Coll, Bangalore Univ, Bangalore, Karnataka, India
Graduated: 6 / 1971
CME Year: 2028
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 PSYCHIATRY AND NEUROLOGY - Clinical Neurophysiology
AMERICAN BOARD OF PSYCHIATRY AND NEUROLOGY (Neurology w/ Child Neurology)
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: Aetna HMO
Aetna PPO
Blue Cross Blue Shield-Blue Preferred
Blue Cross Blue Shield-Blue Traditional
Blue Cross Blue Shield-Plan 65 Select
BlueChoice PPO
BlueLincs HMO
Champ VA
CIGNA HMO
CIGNA PPO
CommunityCare HMO, Inc
CommunityCare Senior HMO
HealthChoice
Heartland Health Plan of Oklahoma
Humana Medicare Advantage PPO
Humana Tricare/PGBA
Pacificare Commercial HMO
PacifiCare of Oklahoma, Inc
Preferred Community Choice
Secure Horizons HMO
SoonerCare HMO
SoonerCare PPO
Tricare for Life
Tricare Standard
United Healthcare Choice
United Healthcare EPO
United Healthcare HMO
United Healthcare Options PPO
United Healthcare POS
Hospital Privileges: Ascension St. John Jane Phillips Medical Center
Bartlesville, OK
Ascension St. John Medical Center
Tulsa, OK
Locations: Hours: Languages:
4636 SOUTH HARVARD AVE
TULSA OK 74135

Phone #: (918) 708-1816
Fax #: (918) 608-1793
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
Hindi
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
JAIMIE PETER APRN 2094
BRITNEY SKYE WELCH PA 2770

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