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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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PANCHAL, JAYESH       
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: GENESIS PLASTIC SURGERY AND MEDICAL SPA
2505 S KELLY AVE
EDMOND OK 73013

Address last updated on 5/9/2024
Phone #: (405) 340-9949
Fax #: (405) 330-2132
County: OKLAHOMA
License: 20347
Dated: 7/18/2002
Expires: 7/1/2025
License Type: Medical Doctor
Specialty: Plastic Surgery
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: Grant Med Coll, Univ Of Mumbai, Mumbai, Maharashtra, India
Graduated: 12 / 1986
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: No
Medicare: Yes
   
HMO/PPO: Aetna HMO
Aetna PPO
BlueChoice PPO
BlueLincs HMO
CommunityCare HMO, Inc
HealthChoice
Heartland Health Plan of Oklahoma
PacifiCare of Oklahoma, Inc
Preferred Community Choice
Prime Advantage Health Plan
Prudential Health Care Plan, Inc
UniCare Health Plans of Oklahoma
United Healthcare HMO
United Healthcare Options PPO
Welcor/Sooner
Hospital Privileges: Comanche County Memorial Hospital
Lawton, OK
Lakeside Women's Hospital
Oklahoma City, OK
Norman Regional Healthplex
Norman, OK
Norman Regional Hospital
Norman, OK
Oklahoma Surgicare
Oklahoma City, OK
SSM St Anthony Midwest Regional Medical Center
Midwest City, OK
Locations: Hours: Languages:
GENESIS PLASTIC SURGERY AND MEDICAL SPA
2505 S KELLY AVE
EDMOND OK 73013

Phone #: (405) 340-9949
Fax #: (405) 330-2132
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
940 Wall Street
Norman, OK 73069

Phone #: (405) 310-6767
Fax #: (5) 201-
Mon: 8:00AM - 4:00PM
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
Hindi

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