ZEWDIE, WUDENEH - Licensee Information

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Last Update: Saturday, December 21, 2024 3:49 AM CST
Next Update: Saturday, December 21, 2024 12:00 PM CST

ZEWDIE, WUDENEH

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:	MIDWEST NEPHROLOGY GROUP PLLC. 9230 E. RENO AVE SUITE B MIDWEST CITY OK 73130 Address last updated on 3/11/2024
Phone #:	(405) 737-4900
Fax #:	(405) 737-3606
County:	OKLAHOMA
License:	24328
Dated:	5/5/2005
Expires:	5/1/2025
License Type:	Medical Doctor
Specialty:	Internal Medicine Nephrology

Status:	Active
Status Class:	Fully Licensed
Restricted to:
Registered to Dispense:	NO
Medical School:	Addis Ababa Univ, Fac Of Med, Addis Ababa, Ethiopia (Haile Sellassie)
Graduated:	12 / 1996
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:	ABPS - Internal Medicine AMERICAN BOARD OF INTERNAL MEDICINE AMERICAN BOARD OF INTERNAL MEDICINE - Nephrology
New Patients:	Yes
Medicaid:	Yes
Medicare:	Yes

HMO/PPO:	Aetna Elect Choice Aetna HMO Aetna Managed Choice Aetna PPO BCE Emergis Blue Cross Blue Shield-Blue Preferred Blue Cross Blue Shield-Blue Traditional Blue Cross Blue Shield-Plan 65 Select Blue Works Workers Comp BlueChoice PPO BlueLincs HMO CCN Managed Care Champ VA CIGNA HMO CIGNA PPO CommunityCare HMO, Inc First Health HealthChoice Humana ChoiceCare Humana Medicare Advantage PPO Humana Tricare/PGBA Medicare Blue Multiplan PPO National Preferred Provider Network (NPPN) PacifiCare of Oklahoma, Inc Physicians Direct Network PPO USA Preferred Health Network-ppoNEXT Prudential Health Care Plan, Inc Secure Horizons HMO SoonerCare HMO SoonerCare PPO Tricare for Life Tricare Standard UniCare Health Plans of Oklahoma United Healthcare Choice United Healthcare EPO United Healthcare HMO United Healthcare Options PPO United Healthcare POS USA Managed Care Worknet of Oklahoma
Hospital Privileges:	INTEGRIS Baptist Medical Center Oklahoma City, OK INTEGRIS Baptist Portland Ave (fmly Deaconess Hospital) Oklahoma City, OK Oklahoma Heart Hospital - North Campus (4050 W. Memorial Rd) Oklahoma City, OK SSM Health St. Anthony Hospital - OKC Oklahoma City, OK SSM St Anthony Midwest Regional Medical Center Midwest City, OK

Locations:	Hours:	Languages:
MIDWEST NEPHROLOGY GROUP PLLC. 9230 E. RENO AVE SUITE B MIDWEST CITY OK 73130 Phone #: (405) 737-4900 Fax #: (405) 737-3606	Mon: 8:00AM - 5:00PM Tue: 8:00AM - 5:00PM Wed: 8:00AM - 5:00PM Thu: 8:00AM - 5:00PM Fri: 8:00AM - 5:00PM Sat: Sun:
5224 E. I - 240 srv rd Oklahoma City, OK 73135 Phone #: (405) 739-6007 Fax #: (3) 201-	Mon: Tue: Wed: Thu: Fri: Sat: Sun:

Name:	Type:	License Number:	Full/Part Time:
Primary Supervisees(s):
KANDY BROWN	APRN	96473

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