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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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LAD, CHANDAN DATTATRAYA
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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: |
WARREN CLINIC
6600 SOUTH YALE SUITE 850
TULSA OK 74136
Address last updated on 5/2/2024 |
Phone #: |
(918) 481-7700 |
Fax #: |
(918) 481-7701 |
County: |
TULSA |
License: |
21976 |
Dated: |
7/10/2001 |
Expires: |
7/1/2025 |
License Type: |
Medical Doctor |
Specialty: |
Family Medicine |
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Status: |
Active |
Status Class: |
Fully Licensed |
Restricted to: |
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Registered to Dispense: |
NO |
Medical School: |
Univ Of Ok Coll Of Med, Oklahoma City Ok 73190 |
Graduated: |
5 /
2000 |
CME Year: |
2025 |
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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 FAMILY MEDICINE |
New Patients: |
Yes |
Medicaid: |
No |
Medicare: |
Yes |
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HMO/PPO: |
Aetna PPO
BlueChoice PPO
CommunityCare HMO, Inc
HealthChoice
Preferred Community Choice
United Healthcare Options PPO |
Hospital Privileges: |
None listed |
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Locations: |
Hours: |
Languages: |
WARREN CLINIC
6600 SOUTH YALE SUITE 850
TULSA OK 74136
Phone #:
(918) 481-7700
Fax #:
(918) 481-7701 |
Mon: 8:30AM - 12:00PM Tue: 8:30AM - 5:00PM Wed: 8:30AM - 5:00PM Thu: 8:30AM - 5:00PM Fri: 8:30AM - 5:00PM Sat: 8:30AM - 12:00PM Sun: 8:30AM - 5:00PM |
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