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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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THAKAR, ISHITA GHANSHYAM       
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: 921 N E 13TH ST
VAMC-00
OKLAHOMA CITY OK 73104

Address last updated on 4/1/2024
Phone #: (405) 456-1090
Fax #: (405) 456-1604
County: OKLAHOMA
License: 21142
Dated: 6/11/1999
Expires: 6/1/2025
License Type: Medical Doctor
Specialty: Internal Medicine
GERIATRICS
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: M P Shah Med Coll, Saurashtra Univ, Jamnagar, Gujarat, India
Graduated: 2 / 1995
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 - Geriatric Medicine
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
921 N E 13TH ST
VAMC-00
OKLAHOMA CITY OK 73104

Phone #: (405) 456-1090
Fax #: (405) 456-1604
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
KATHLEEN PARKER APRN 45933

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