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Oklahoma Board of Medical Licensure and Supervision

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Next Update: Thursday, December 19, 2024 2:50 AM CST

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DAFTARY, SUDHIR RAMNIKLAL       
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: 2811 E 15TH STREET SUITE 102
TULSA OK 74104

Address last updated on 9/9/2023
Phone #: (918) 935-3240
Fax #: (918) 953-3241
County: TULSA
License: 23519
Dated: 11/20/2003
Expires: 11/1/2025
License Type: Medical Doctor
Specialty: Anesthesiology
Pain Management (Anesthesiology)
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: M P Shah Med Coll, Saurashtra Univ, Jamnagar, Gujarat, India
Graduated: 6 / 1973
CME Year: 2027
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:
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: Aetna PPO
BlueChoice PPO
BlueLincs HMO
CIGNA PPO
HealthChoice
Preferred Community Choice
SoonerCare HMO
SoonerCare PPO
United Healthcare HMO
United Healthcare Options PPO
Welcor/Sooner
Hospital Privileges: None listed
Locations: Hours: Languages:
2811 E 15TH STREET SUITE 102
TULSA OK 74104

Phone #: (918) 935-3240
Fax #: (918) 953-3241
Mon: 9:00AM - 5:00PM
Tue: 9:00AM - 5:00PM
Wed: 9:00AM - 5:00PM
Thu: 9:00AM - 5:00PM
Fri: 9:00AM - 5:00PM
Sat: 9:00AM - 5:00PM NONE
Sun: NONE
Spanish

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