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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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RAO, MADHUSUDAN GUJAR
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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: |
225 N.E. 97TH STREET
SUITE 600
OKLAHOMA CITY OK 73114
Address last updated on 8/3/2024 |
Phone #: |
(405) 842-2061 |
Fax #: |
(405) 841-2002 |
County: |
OKLAHOMA |
License: |
22920 |
Dated: |
9/3/2002 |
Expires: |
9/1/2025 |
License Type: |
Medical Doctor |
Specialty: |
Anatomic/Clinical Pathology |
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Status: |
Active |
Status Class: |
Fully Licensed |
Restricted to: |
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Registered to Dispense: |
NO |
Medical School: |
J L Nehru Med Coll, R Gandhi Univ Hlth Sci, Belgaum, Karnataka, India |
Graduated: |
12 /
1984 |
CME Year: |
2026 |
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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 PATHOLOGY |
New Patients: |
Contact licensee |
Medicaid: |
Contact licensee |
Medicare: |
Contact licensee |
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HMO/PPO: |
None listed |
Hospital Privileges: |
Baily Medical Center
Owasso, OK
Hillcrest Medical Center
Tulsa, OK
Hillcrest Specialty Hospital
Tulsa, OK
INTEGRIS Baptist Regional Health Ctr.
Miami, OK
INTEGRIS Grove General Hospital
Grove, OK
INTEGRIS Mayes County Medical Center
Pryor, OK
Stilwell Memorial Hospital
Stilwell, OK
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Primary Supervisees(s):
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Name: |
Type: |
License Number: |
Full/Part Time: |
MARY JANE EASLEY
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PA |
796 |
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