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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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SUKU, SURAJ       
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: 6120 S YALE AVE SUITE 1210
TULSA OK 74136

Address last updated on 11/6/2024
Phone #: (918) 888-5211
Fax #:
County: TULSA
License: 24622
Dated: 7/1/2007
Expires: 7/1/2025
License Type: Medical Doctor
Specialty: Internal Medicine
Critical Care Medicine (Internal Medicine)
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: YES
Medical School: St George's Univ, Sch Of Med, St George's, Grenada
Graduated: 5 / 2005
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 INTERNAL MEDICINE
UNITED COUNCIL FOR NEUROLOGIC SUBSPECIALTIES
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: Cherokee Nation W.W. Hastings Hospital
Tahlequah, OK
Creek Nation Community Hospital
Okemah, OK
Eastern Oklahoma Medical Center
Poteau, OK
Hillcrest Hospital South (fmly SouthCrest)
Tulsa, OK
Hillcrest Medical Center
Tulsa, OK
Muscogee (Creek) Nation Medical Center (Okmulgee Mem. Hosp.)
Okmulgee, OK
SSM Health St. Anthony Hospital - OKC
Oklahoma City, OK
St. Anthony Healthplex - East Campus (I-40 & Douglas)
Oklahoma City, OK
St. Anthony Healthplex - South Campus (I-44 & SW 134th St)
Oklahoma City, OK
St. Anthony South (SW 59th St, OKC) (SSM Health)
Oklahoma City, OK
Locations: Hours: Languages:
6120 S YALE AVE SUITE 1210
TULSA OK 74136

Phone #: (918) 888-5211
Fax #:
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
ALLISON RUSSELL BARTON PA 3161
BRETT JONATHAN BENNETT PA 999
NICHOLETTE CHRISTINE BROSSEAU PA 4530
LAUREN B QUICK PA 4533
ADRIAN THEERMAN APRN 86142

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