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Next Update: Thursday, December 19, 2024 12:00 PM CST
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GUPTA, SUDHIR K
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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: |
3315 KETHLEY ROAD
SHAWNEE OK 74804
Address last updated on 7/29/2023 |
| Phone #: |
(405) 273-5801 |
| Fax #: |
(405) 395-5922 |
| County: |
POTTAWATOMIE |
| License: |
15887 |
| Dated: |
9/6/1986 |
| Expires: |
9/1/2025 |
| License Type: |
Medical Doctor |
| Specialty: |
Internal Medicine
Nuclear Cardiology
Cardiovascular Disease
Interventional Cardiology |
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| Status: |
Active |
| Status Class: |
Fully Licensed |
| Restricted to: |
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| Registered to Dispense: |
YES |
| Medical School: |
Maulana Azad Med Coll, Delhi Univ, New Delhi, Delhi, India |
| Graduated: |
12 /
1976 |
| CME Year: |
2027 |
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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: |
AMERICAN BOARD OF INTERNAL MEDICINE
AMERICAN BOARD OF INTERNAL MEDICINE - Cardiovascular Disease |
| New Patients: |
Yes |
| Medicaid: |
Yes |
| Medicare: |
Yes |
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| HMO/PPO: |
Aetna PPO
Blue Cross Blue Shield-Blue Traditional
BlueChoice PPO
CIGNA PPO
HealthChoice
Humana Tricare/PGBA
OSMA Health (formerly Plico PPO)
Railroad Medicare
SoonerCare PPO
Tricare Standard
United Healthcare Choice
United Healthcare Options PPO
United Healthcare POS |
| Hospital Privileges: |
Oklahoma Heart Hospital - North Campus (4050 W. Memorial Rd)
Oklahoma City, OK
SSM Health St. Anthony Hospital - OKC
Oklahoma City, OK
SSM Health St. Anthony Shawnee Hospital (fmly Unity Health Ctr)
Shawnee, OK
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| Locations: |
Hours: |
Languages: |
3315 KETHLEY ROAD
SHAWNEE OK 74804
Phone #:
(405) 273-5801
Fax #:
(405) 395-5922 |
Mon: 9:00AM - 5:00PM
Tue: 9:00AM - 5:00PM
Wed: 9:00AM - 5:00PM
Thu: 9:00AM - 5:00PM
Fri: 9:00AM - 5:00PM
Sat:
Sun: |
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