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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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KATARI, VIKRAM       
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: 1923 SOUTH UTICA
5TH FLOOR SIEGFRIED TOWER
TULSA OK 74104

Address last updated on 2/4/2023
Phone #: (918) 748-7501
Fax #: (918) 293-3107
County: TULSA
License: 24775
Dated: 3/17/2006
Expires: 3/1/2025
Temp. Lic. Issued: 2/23/2006
Temp. Lic. Expires: 5/13/2006
License Type: Medical Doctor
Specialty: Cardiovascular Disease
Clinical Cardiac Electrophysiology
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: Guntur Med Coll, NTR Univ of Hlth Sci, Guntur, A P, India
Graduated: 11 / 1995
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 - Cardiovascular Disease
AMERICAN BOARD OF INTERNAL MEDICINE - Clinical Cardiac Electrophysiology
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: Aetna Elect Choice
Aetna HMO
Aetna Managed Choice
Aetna PPO
Beechstreet PPO
Blue Cross Blue Shield-Blue Preferred
Blue Cross Blue Shield-Blue Traditional
Blue Cross Blue Shield-Plan 65 Select
BlueChoice PPO
BlueLincs HMO
Champ VA
CIGNA HMO
CIGNA PPO
CommunityCare HMO, Inc
Coventry Health Care National Network
First Health
Great West Healthcare
HealthChoice
Humana ChoiceCare
Humana Medicare Advantage PPO
Medicare Blue
Multiplan PPO
OSMA Health (formerly Plico PPO)
PHCS (Private Healthcare Systems)
PPO USA
Preferred Community Choice
Private Healthcare Systems (PHCS)
Secure Horizons HMO
Tricare for Life
Tricare Standard
United Healthcare Choice
United Healthcare EPO
United Healthcare Options PPO
United Healthcare POS
USA Managed Care
Hospital Privileges: Ascension St. John Medical Center
Tulsa, OK
Locations: Hours: Languages:
1923 SOUTH UTICA
5TH FLOOR SIEGFRIED TOWER
TULSA OK 74104

Phone #: (918) 748-7501
Fax #: (918) 293-3107
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
ROXANNE GRACE LAPO PA 4942
CARLA SUE MASON PA 896
CAITLIN MASSEY APRN 113882
JUSTIN WORLEY APRN 106003

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