Oklahoma State SealOklahoma State Seal
Oklahoma Board of Medical Licensure and Supervision

Search Results

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

Return to Search Licensees page

PRYTKOV, ALEXEI MIKHAILOVICH       
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: EMERGENCY DEPARTMENT
SHANDS LAKE SHORE REGIONAL MEDICAL CENTER
368 NE FRANKLIN STREET
LAKE CITY FL 32055

Address last updated on 5/2/2017
Phone #: (405) 863-0781
Fax #:
County: NOT OKLAHOMA
License: 23497
Dated: 7/1/2005
Expires: 7/1/2018
License Type: Medical Doctor
Specialty: Family Medicine
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Russian State Med Univ (Second Moscow Med Inst), Moscow, Russia
Graduated: 6 / 1995
CME Year: 2020
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
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: Aetna HMO
Hospital Privileges: Great Plains Regional Medical Center
Elk City, OK
Stillwater Medical Center
Stillwater, OK
Locations: Hours: Languages:
EMERGENCY DEPARTMENT
SHANDS LAKE SHORE REGIONAL MEDICAL CENTER
368 NE FRANKLIN STREET
LAKE CITY FL 32055

Phone #: (405) 863-0781
Fax #:
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:

Return to Search Licensees page