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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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RAO, MADHUSUDAN GUJAR       
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: 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
Status: Active
Status Class: Fully Licensed
Restricted to:
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
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 PATHOLOGY
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
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
Locations: Hours: Languages:
225 N.E. 97TH STREET
SUITE 600
OKLAHOMA CITY OK 73114

Phone #: (405) 842-2061
Fax #: (405) 841-2002
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
MARY JANE EASLEY PA 796

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