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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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ANGELIDIS, PRODROMOS MIKE       
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: WARREN CLINIC-HOSPITALISTS
6161 SOUTH YALE
TULSA OK 74136

Address last updated on 9/19/2022
Phone #: (918) 494-5346
Fax #: (918) 494-6303
County: TULSA
License: 23934
Dated: 11/15/2006
Expires: 11/1/2025
License Type: Medical Doctor
Specialty: Internal Medicine
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduated: 5 / 2004
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
AMERICAN BOARD OF INTERNAL MEDICINE (Focused Practice in Hospital Medicine)
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: St. Francis Hospital
Tulsa, OK
Locations: Hours: Languages:
WARREN CLINIC-HOSPITALISTS
6161 SOUTH YALE
TULSA OK 74136

Phone #: (918) 494-5346
Fax #: (918) 494-6303
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
RACHEL DELANEY APRN 102367
EVELYN FERRER PA 5362
KALA HATCH APRN 115172
JENNIFER MOSBY APRN 15500
JOSEPH EDWARD PRUITT PA 1274
ANDREW SHEARER APRN 7763
J. RYAN THOMAS PA 937
SHEEBA VARICKAPPALLIL APRN 78411

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