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Next Update: Thursday, December 19, 2024 12:00 PM CST
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PRABHALA, ANU RADHA
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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
6160 SOUTH YALE AVE
TULSA OK 74136
Address last updated on 3/4/2023 |
| Phone #: |
(918) 497-3140 |
| Fax #: |
(918) 495-2650 |
| County: |
TULSA |
| License: |
23244 |
| Dated: |
4/14/2003 |
| Expires: |
4/1/2025 |
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Temp.
Lic.
Issued:
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1/9/2003 |
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Temp.
Lic.
Expires:
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5/10/2003 |
| License Type: |
Medical Doctor |
| Specialty: |
Endocrinology, Diabetes and Metabolism
Internal Medicine |
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| Status: |
Active |
| Status Class: |
Fully Licensed |
| Restricted to: |
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| Registered to Dispense: |
NO |
| Medical School: |
Grant Med Coll, Univ Of Mumbai, Mumbai, Maharashtra, India |
| Graduated: |
1 /
1989 |
| CME Year: |
2027 |
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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 INTERNAL MEDICINE
AMERICAN BOARD OF INTERNAL MEDICINE - Endocrinology, Diabetes and Metabolism |
| New Patients: |
Yes |
| Medicaid: |
Yes |
| Medicare: |
Yes |
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| HMO/PPO: |
Aetna HMO
Aetna PPO
Blue Cross Blue Shield-Blue Traditional
BlueChoice PPO
BlueLincs HMO
CIGNA PPO
CommunityCare HMO, Inc
CommunityCare Senior HMO
First Health
HealthChoice
OSMA Health (formerly Plico PPO)
PacifiCare of Oklahoma, Inc
PHCS (Private Healthcare Systems)
Preferred Community Choice
Private Healthcare Systems (PHCS)
Prudential Health Care Plan, Inc
United Healthcare HMO
United Healthcare Options PPO |
| Hospital Privileges: |
St. Francis Hospital
Tulsa, OK
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