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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Wednesday, December 18, 2024 6:43 PM CST
Next Update: Thursday, December 19, 2024 2:50 AM CST

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CHACKO, GEO-PHILIPS       
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: 3300 HEALTHPLEX PKWY
NORMAN OK 73072

Address last updated on 8/4/2024
Phone #:
Fax #:
County: CLEVELAND
License: 23682
Dated: 10/30/2003
Expires: 10/1/2025
Temp. Lic. Issued: 9/22/2003
Temp. Lic. Expires: 11/20/2003
License Type: Medical Doctor
Specialty: Internal Medicine
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: Howard Univ Coll Of Med, Washington DC 20059
Graduated: 6 / 1998
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: AMERICAN BOARD OF INTERNAL MEDICINE
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: BlueChoice PPO
BlueLincs HMO
CommunityCare HMO, Inc
HealthChoice
Heartland Health Plan of Oklahoma
PacifiCare of Oklahoma, Inc
Preferred Community Choice
Prime Advantage Health Plan
Prudential Health Care Plan, Inc
UniCare Health Plans of Oklahoma
United Healthcare HMO
United Healthcare Options PPO
Welcor/Sooner
Hospital Privileges: McAlester Regional Health Center
McAlester, OK
Norman Regional Hospital
Norman, OK
Northeastern Health System (formerly Tahlequah City Hospital)
Tahlequah, OK
OU Health Medical Center
Oklahoma City, OK
OU Medical Center - Edmond
Edmond, OK
SSM St Anthony Midwest Regional Medical Center
Midwest City, OK
St. Francis Hospital - Muskogee (frmly Muskogee Reg. Med. Ctr./Eastar)
Muskogee, OK
Locations: Hours: Languages:
3300 HEALTHPLEX PKWY
NORMAN OK 73072

Phone #:
Fax #:
Mon:
Tue:
Wed:
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Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
HENRY DAVIS APRN 57710
GORDON HART PA 2305
ADRIENNE HERNANDEZ APRN 86612
STEPHENIE INGRAM APRN 72256
HELEN MBOH APRN 83300
SASIPHA PAHAMARK APRN 101732
AMANDA RASMUSSEN APRN 114170
MARK LEE WELLS PA 1099

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