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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Thursday, December 19, 2024 3:44 AM CST
Next Update: Thursday, December 19, 2024 12:00 PM CST

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PRASAD, SUJATA       
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: 3613 NW 56TH STREET
#318
OKLAHOMA CITY OK 73112

Address last updated on 6/4/2024
Phone #: (405) 604-0688
Fax #: (405) 604-0689
County: OKLAHOMA
License: 22084
Dated: 7/20/2001
Expires: 7/1/2025
License Type: Medical Doctor
Specialty: Internal Medicine
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: Mahatma Gandhi Mem Med Coll, Ranchi Univ, Jamshedpur, Bihar, India
Graduated: 6 / 1987
CME Year: 2025
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
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: None listed
Hospital Privileges: INTEGRIS Baptist Medical Center
Oklahoma City, OK
INTEGRIS Baptist Portland Ave (fmly Deaconess Hospital)
Oklahoma City, OK
Locations: Hours: Languages:
3613 NW 56TH STREET
#318
OKLAHOMA CITY OK 73112

Phone #: (405) 604-0688
Fax #: (405) 604-0689
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
Hindi

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