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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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ENNAMURI, KUMAR BRAMESH
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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: |
317 E HIMES
NORMAN OK 73069
Address last updated on 12/6/2023 |
| Phone #: |
(405) 632-6688 |
| Fax #: |
(405) 329-1571 |
| County: |
CLEVELAND |
| License: |
20474 |
| Dated: |
11/13/1997 |
| Expires: |
11/1/2025 |
| License Type: |
Medical Doctor |
| Specialty: |
Internal Medicine |
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| Status: |
Active |
| Status Class: |
Fully Licensed |
| Restricted to: |
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| Registered to Dispense: |
NO |
| Medical School: |
Sri Venkatesvara Med Coll, NTR Univ Hlth Sci, Tirupati, AP, India |
| Graduated: |
5 /
1981 |
| 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 |
| New Patients: |
Yes |
| Medicaid: |
Yes |
| Medicare: |
Yes |
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| HMO/PPO: |
Aetna HMO
Aetna Managed Choice
Aetna PPO
Blue Cross Blue Shield-Blue Preferred
Blue Cross Blue Shield-Blue Traditional
Blue Cross Blue Shield-Plan 65 Select
Blue Works Workers Comp
BlueChoice PPO
BlueLincs HMO
CIGNA HMO
CIGNA PPO
CommunityCare HMO, Inc
First Health
HealthChoice
Humana ChoiceCare
Humana Tricare/PGBA
Medicare Blue
OSMA Health (formerly Plico PPO)
Preferred Community Choice
Private Healthcare Systems (PHCS)
Railroad Medicare
United Healthcare Choice |
| Hospital Privileges: |
Norman Regional Hospital
Norman, OK
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| Locations: |
Hours: |
Languages: |
317 E HIMES
NORMAN OK 73069
Phone #:
(405) 632-6688
Fax #:
(405) 329-1571 |
Mon: 8:00AM - 6:00PM
Tue: 8:00AM - 6:00PM
Wed: 8:00AM - 6:00PM
Thu: 8:00AM - 6:00PM
Fri: 8:00AM - 6:00PM
Sat:
Sun: |
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Primary Supervisees(s):
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| Name: |
Type: |
License Number: |
Full/Part Time: |
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RENEE WEATHERFORD
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APRN |
72461 |
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