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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Monday, December 23, 2024 3:49 AM CST
Next Update: Monday, December 23, 2024 12:00 PM CST

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THANKACHAN, JUSTIN PLAMTHUNDIL       
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 8/30/2024
Phone #:
Fax #:
County: TULSA
License: 24623
Dated: 1/7/2008
Expires: 1/1/2026
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 / 2005
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: AMERICAN BOARD OF INTERNAL MEDICINE
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
Hillcrest Medical Center
Tulsa, OK
Hillcrest Specialty Hospital
Tulsa, OK
Muscogee (Creek) Nation Long Term Acute Care Hospital
Okmulgee, OK
Muscogee (Creek) Nation Medical Center (Okmulgee Mem. Hosp.)
Okmulgee, OK
Muscogee (Creek) Nation Rehabilitation Ctr. (fmly George Nigh)
Okmulgee, OK
Locations: Hours: Languages:
6120 S YALE AVE
SUITE 1210
TULSA OK 74136

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Fax #:
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Cherokee Health Partners
1373 E Boone Street
Suite 2300
Tahlequah, OK 74464

Phone #: (918) 207-0025
Fax #: (3) 201-
Mon: 8:00AM - 4:00PM
Tue: 8:00AM - 4:00PM
Wed: 8:00AM - 4:00PM
Thu: 8:00AM - 4:00PM
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10109 E 79th St
Tulsa, OK 74133

Phone #: (918) 233-9550
Fax #: (2) 202-
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Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
ALLISON RUSSELL BARTON PA 3161
BRETT JONATHAN BENNETT PA 999
JENNIFER HASTINGS APRN 104747

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