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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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JAISWAL, DEEPAK S       
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: 702 BRYAN DRIVE
SUITE 100
DURANT OK 74701

Address last updated on 6/21/2023
Phone #: (580) 924-4704
Fax #: (580) 924-6001
County: BRYAN
License: 18645
Dated: 8/30/1993
Expires: 8/1/2025
License Type: Medical Doctor
Specialty: Internal Medicine
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: B J Med Coll, Gujarat Univ, Ahmedabad, Gujarat, India
Graduated: 6 / 1979
CME Year: 2027
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:
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: Aetna PPO
BlueChoice PPO
HealthChoice
Preferred Community Choice
United Healthcare Options PPO
Hospital Privileges: Medical Center of Southeastern OK
Durant, OK
Locations: Hours: Languages:
702 BRYAN DRIVE
SUITE 100
DURANT OK 74701

Phone #: (580) 924-4704
Fax #: (580) 924-6001
Mon: 8:00AM - 6:00PM
Tue: 8:00AM - 6:00PM
Wed: 8:00AM - 12:00PM
Thu: 8:00AM - 6:00PM
Fri: 8:00AM - 6:00PM
Sat:
Sun:
702 Bryan Drive
Suite 200
Durant, OK 74701

Phone #: (580) 924-4707
Fax #: (7) 201-
Mon: 8:00AM - 6:00PM
Tue: 8:00AM - 6:00PM
Wed: 8:00AM - 12:00PM
Thu: 8:00AM - 6:00PM
Fri: 8:00AM - 6:00PM
Sat: 8:00AM - 12:00PM
Sun: 12:00PM - 5:00PM
Hindi
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
ANGELA WRIGHT APRN 82743

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