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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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UDUPA, ANAND DEVIPRAKASH       
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: NEPHROLOGY SPECIALISTS OF OKLAHOMA
6465 S YALE AVE STE 507
TULSA OK 74136

Address last updated on 3/1/2024
Phone #: (918) 712-5000
Fax #: (918) 712-5003
County: TULSA
License: 21103
Dated: 5/10/1999
Expires: 5/1/2025
License Type: Medical Doctor
Specialty: Nephrology
Internal Medicine
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: Coimbatore Med Coll, Dr M G R Med Univ, Coimbatore, TN, India
Graduated: 12 / 1978
CME Year: 2026
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 INTERNAL MEDICINE
AMERICAN BOARD OF INTERNAL MEDICINE - Nephrology
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
Prudential Health Care Plan, Inc
United Healthcare HMO
United Healthcare Options PPO
Hospital Privileges: Ascension St. John Jane Phillips Medical Center
Bartlesville, OK
Ascension St. John Medical Center
Tulsa, OK
Hillcrest Hospital South
Tulsa, OK
Hillcrest Medical Center
Tulsa, OK
Hillcrest Specialty Hospital
Tulsa, OK
Select Specialty Hospital
Tulsa, OK
St. Francis Hospital
Tulsa, OK
St. Francis Hospital - Broken Arrow
Broken Arrow, OK
Locations: Hours: Languages:
NEPHROLOGY SPECIALISTS OF OKLAHOMA
6465 S YALE AVE STE 507
TULSA OK 74136

Phone #: (918) 712-5000
Fax #: (918) 712-5003
Mon: 8:30AM - 4:30PM
Tue: 8:30AM - 4:30PM
Wed: 8:30AM - 4:30PM
Thu: 8:30AM - 4:30PM
Fri: 8:30AM - 4:30PM
Sat:
Sun:
Chinese (Mandarin)
Hindi
Arabic
Farsi
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
DONNA JEAN ANDERSON PA 314
ANDREW DOUTHITT APRN 119224
KRISTY MARTIN APRN 57565
MELISSA SPRING REDDING PA 2485

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