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Oklahoma Board of Medical Licensure and Supervision

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

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KRISHNA, SREELATHA KASUGANTI       
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: UTICA PARK CLINIC
9001 S. 101ST E. AVE.
SUITE 370
TULSA OK 74133

Address last updated on 6/20/2024
Phone #: (918) 392-7500
Fax #:
County: TULSA
License: 23530
Dated: 7/1/2005
Expires: 7/1/2025
License Type: Medical Doctor
Specialty: Internal Medicine
Pediatrics
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: YES
Medical School: Sri Devaraj Urs Med Coll, R Gandhi Univ Hlth Sci, Kolar, Karnataka, India
Graduated: 6 / 2000
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 INTERNAL MEDICINE
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: Aetna HMO
Blue Cross Blue Shield-Blue Preferred
Blue Cross Blue Shield-Blue Traditional
Blue Cross Blue Shield-Plan 65 Select
BlueChoice PPO
CIGNA HMO
CIGNA PPO
CommunityCare HMO, Inc
Health Smart Preferred Care (HSPC)
HealthChoice
Humana ChoiceCare
Preferred Community Choice
Sparks Premiercare
United Healthcare HMO
Hospital Privileges: None listed
Locations: Hours: Languages:
UTICA PARK CLINIC
9001 S. 101ST E. AVE.
SUITE 370
TULSA OK 74133

Phone #: (918) 392-7500
Fax #:
Mon:
Tue: 8:30AM - 3:00PM
Wed: 8:30AM - 3:00PM
Thu: 8:00AM - 3:00PM
Fri:
Sat:
Sun:

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