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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Wednesday, December 25, 2024 3:48 AM CST
Next Update: Wednesday, December 25, 2024 12:00 PM CST

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REDDY, RAJKUMAR PADIRA       
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: PEDIATRIX
4300 W MEMORIAL ROAD
OKLAHOMA CITY OK 73120

Address last updated on 11/9/2023
Phone #: (405) 471-3529
Fax #:
County: OKLAHOMA
License: 17957
Dated: 1/11/1992
Expires: 1/1/2026
License Type: Medical Doctor
Specialty: Neonatal-Perinatal Medicine
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: Kakatiya Med Coll, Vijayawada Univ Hlth Sci, Warangal, AP, India
Graduated: 8 / 1979
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 - Neonatal-Perinatal Medicine
New Patients: Yes
Medicaid: Yes
Medicare: No
   
HMO/PPO: Aetna HMO
Aetna PPO
BlueChoice PPO
BlueLincs HMO
CIGNA HMO
CIGNA PPO
CommunityCare HMO, Inc
HealthChoice
PacifiCare of Oklahoma, Inc
Preferred Community Choice
Prime Advantage Health Plan
Prudential Health Care Plan, Inc
SoonerCare HMO
SoonerCare PPO
UniCare Health Plans of Oklahoma
United Healthcare HMO
United Healthcare Options PPO
Welcor/Sooner
Hospital Privileges: Mercy Hospital OKC
Oklahoma City, OK
Norman Regional Hospital
Norman, OK
Locations: Hours: Languages:
PEDIATRIX
4300 W MEMORIAL ROAD
OKLAHOMA CITY OK 73120

Phone #: (405) 471-3529
Fax #:
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
Hindi
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
LOIS BAEZ APRN 50110
KYRA BOLER APRN 106258
SYDNEY BOOTHE APRN 109343
BROOKE BURKS APRN 77152
KAHLENE CHRISTENSON APRN 75015
AMBER FOX APRN 78701
ASHLEY HELMBRECHT APRN 96169
BONNIE HUGHES APRN 52870
TED JEFFERS APRN 77326
JO LANG APRN 44566
AMY MANFREDO APRN 85919
LORI MCDONALD APRN 71369
DEZARAY PREUNINGER APRN 95564

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