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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Monday, December 23, 2024 3:49 AM CST
Next Update: Monday, December 23, 2024 12:00 PM CST

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NAIDU, SACHIDANANDAN       
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: 1919 E MEMORIAL ROAD
1919 E. MEMORIAL ROAD
OKLAHOMA CITY OK 73131

Address last updated on 6/7/2024
Phone #: (405) 341-7009
Fax #: (405) 330-1811
County: OKLAHOMA
License: 21643
Dated: 7/1/2000
Expires: 7/1/2025
Training Issued: 7/1/1998
Training Expires: 7/1/2000
License Type: Medical Doctor
Specialty: Family Medicine
Emergency Medicine
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of Natal, Fac Of Med, Congella, So Africa
Graduated: 12 / 1989
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: ABPS - Emergency Medicine
AMERICAN BOARD OF FAMILY MEDICINE
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: Aetna HMO
Aetna Managed Choice
Aetna PPO
Beechstreet 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
Champ VA
CIGNA HMO
CIGNA PPO
CommunityCare HMO, Inc
Coventry Health Care National Network
First Health
HealthChoice
Humana ChoiceCare
Humana Medicare Advantage PPO
Humana Tricare/PGBA
Medicare Blue
One Health Plan PPO
OSMA Health (formerly Plico PPO)
Pacificare Commercial HMO
PacifiCare of Oklahoma, Inc
PHCS (Private Healthcare Systems)
PPO USA
Preferred Community Choice
Preferred Health Network-ppoNEXT
Railroad Medicare
Secure Horizons HMO
Tricare for Life
Tricare Standard
United Healthcare HMO
United Healthcare Options PPO
Hospital Privileges: Mercy Hospital OKC
Oklahoma City, OK
Stillwater Medical Center
Stillwater, OK
Locations: Hours: Languages:
1919 E MEMORIAL ROAD
1919 E. MEMORIAL ROAD
OKLAHOMA CITY OK 73131

Phone #: (405) 341-7009
Fax #: (405) 330-1811
Mon: 8:00AM - 5:00PM
Tue: 8:00AM - 5:00PM
Wed: 8:00AM - 5:00PM
Thu: 8:00AM - 5:00PM
Fri: 8:00AM - 5:00PM
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
ASHLEY MARIE HALE CODDING PA 2590
STACY LOUISE FAGAN PA 1779
RANDY PAUL GORDON PA 1585
JEFFREY NEIL JOHNSTON PA 2508
RUSSELL MCALVAIN APRN 16160
CARRIE HOPE MCGUIRE PA 1510
LINDSAY ANN MCVAY PA 2270
CHRISTOPHER AQUIES TAYLOR PA 2259
JANSON VARGHESE APRN 92801

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