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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Thursday, December 19, 2024 3:44 AM CST
Next Update: Thursday, December 19, 2024 12:00 PM CST

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PRASAD, RAKESH       
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: 3 CORPORATE PLAZA
SUITE 318
3613 NW 56TH STREET
OKLAHOMA CITY OK 73112

Address last updated on 6/4/2024
Phone #: (405) 604-0688
Fax #: (405) 604-4365
County: OKLAHOMA
License: 19543
Dated: 9/1/1995
Expires: 9/1/2025
Training Issued: 12/10/1992
Training Expires: 12/1/1996
License Type: Medical Doctor
Specialty: Internal Medicine
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: Mahatma Gandhi Mem Med Coll, Ranchi Univ, Jamshedpur, Bihar, India
Graduated: 11 / 1987
CME Year: 2027
Pending and/or Past Disciplinary Actions:
Date Action Reasons Remarks
11/4/2004 Probation Ended
9/27/2001 Probation
Board Filings and/or Orders:
11/12/2004
05/09/2002
09/27/2001
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Certifications: AMERICAN BOARD OF INTERNAL MEDICINE
AMERICAN BOARD OF INTERNAL MEDICINE - Hospice and Palliative Medicine
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: Aetna HMO
Aetna PPO
HealthChoice
PacifiCare of Oklahoma, Inc
Preferred Community Choice
Prudential Health Care Plan, Inc
United Healthcare HMO
United Healthcare Options PPO
Welcor/Sooner
Hospital Privileges: INTEGRIS Baptist Medical Center
Oklahoma City, OK
INTEGRIS Baptist Portland Ave (fmly Deaconess Hospital)
Oklahoma City, OK
INTEGRIS Southwest Medical Center
Oklahoma City, OK
Mercy Hospital OKC
Oklahoma City, OK
OU Health - Edmond (frmrly Edmond Medical Center)
Edmond, OK
SSM Health St. Anthony Hospital - OKC
Oklahoma City, OK
Locations: Hours: Languages:
3 CORPORATE PLAZA
SUITE 318
3613 NW 56TH STREET
OKLAHOMA CITY OK 73112

Phone #: (405) 604-0688
Fax #: (405) 604-4365
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
CRISTIN FONG APRN 194
KATHRYN HOOK APRN 10447
KAYLEE TERRELL APRN 1098

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