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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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MITTAL, YOGESH       
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: THE ORTHOPAEDIC CENTER
1809 EAST 13TH STREET
SUITE 100
TULSA OK 74104

Address last updated on 2/19/2024
Phone #: (918) 582-6800
Fax #: (918) 582-6060
County: TULSA
License: 23844
Dated: 3/23/2004
Expires: 3/1/2025
License Type: Medical Doctor
Specialty: Orthopedic Surgery
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: YES
Medical School: Univ Of TX Southwestern Med Sch At Dallas SW Med Sch, Dallas Tx 75235
Graduated: 6 / 1998
CME Year: 2025
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 ORTHOPAEDIC SURGERY
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: Aetna HMO
Aetna PPO
BlueChoice PPO
BlueLincs HMO
CIGNA HMO
CIGNA PPO
CommunityCare HMO, Inc
PacifiCare of Oklahoma, Inc
United Healthcare HMO
United Healthcare Options PPO
Hospital Privileges: Ascension St. John Medical Center
Tulsa, OK
Hillcrest Medical Center
Tulsa, OK
Hillcrest Specialty Hospital
Tulsa, OK
Locations: Hours: Languages:
THE ORTHOPAEDIC CENTER
1809 EAST 13TH STREET
SUITE 100
TULSA OK 74104

Phone #: (918) 582-6800
Fax #: (918) 582-6060
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
LA DENA ANN BALLARD PA 1467
AMY KAY BROOKOVER PA 949
GANNON FREDERICK GILL PA 1950
BRIAN GRAHAM PA 1670
MAISSA BAKER MITWALLI PA 4400
JILL NICOLE SPREITER PA 1586

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