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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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MADHAVARAPU, SEETHAL RAO       
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: OKLAHOMA SPORTS & ORTHOPEDICS INSTITUTE
13401 N. WESTERN
STE. 301
OKLAHOMA CITY OK 73114
Address last updated on 6/3/2024
Phone #: (405) 218-2530
Fax #: (405) 218-2535
County: OKLAHOMA
License: 23053
Dated: 7/1/2004
Expires: 7/1/2025
License Type: Medical Doctor
Specialty: Sports Medicine (Family Practice)
Family Medicine
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduated: 5 / 2002
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 FAMILY MEDICINE
AMERICAN BOARD OF FAMILY MEDICINE - Sports Medicine
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
OKLAHOMA SPORTS & ORTHOPEDICS INSTITUTE
13401 N. WESTERN
STE. 301
OKLAHOMA CITY OK 73114
Phone #: (405) 218-2530
Fax #: (405) 218-2535 		Mon: 8:00AM - 5:00PM
Tue: 8:00AM - 5:00PM
Wed: 8:00AM - 12:00PM
Thu: 8:00AM - 5:00PM
Fri: 8:00AM - 5:00PM
Sat:
Sun:
3400 S Douglas Blvd Ste 302
Oklahoma City, OK 73104
Phone #: (405) 218-2530
Fax #: (8) 200- 		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:
RACHEL ALLEN AT 848
CHERRY LACRETA BOWEN AT 743
ANDREW KYLE DIECKMANN AT 1353
CRIS A DOOLEY AT 1215
JAY RICHARD GALLEGLY AT 543
KALIN T HEATON PA 4673
SIMONNE CHANTAL JOHNSON AT 1299
EDWARD PAUL KABRICK AT 65
KATHERINE MARIE KING AT 705
HEATHER COLLIGAN KUKLINSKI PA 1405
ANDREA K LEGG AT 680
CODY ALLEN LEGG AT 663
TIFFANI LOWELL APRN 102263
KELSEY RENEE LYLE AT 1039
CURTIS WRIGHT MCAULIFF AT 189
CASEY JORDAN SEITZ AT 1248
CHRISTOPHER LEE TROBAUGH AT 455
PAUL MICHAEL WALKER AT 723
JOSEPH GARY WENZL AT 1252
TAYLOR RICOLE WILLIAMS AT 1251

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