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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Thursday, December 19, 2024 3:44 AM CST
Next Update: Thursday, December 19, 2024 12:00 PM CST

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KUMAR, GAURAV       
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: SIEGFRIED TOWER 4TH FLOOR
1923 SOUTH UTICA AVENUE
TULSA OK 74104

Address last updated on 7/26/2023
Phone #: (918) 748-7650
Fax #: (918) 403-6341
County: TULSA
License: 25195
Dated: 8/3/2006
Expires: 8/1/2025
Temp. Lic. Issued: 6/15/2006
Temp. Lic. Expires: 9/23/2006
License Type: Medical Doctor
Specialty: Cardiovascular Disease
Interventional Cardiology
Internal Medicine
Nuclear Cardiology
Vascular Medicine
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: King George's Med Coll, Lucknow Univ, Lucknow, UP, India
Graduated: 4 / 1993
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 - Interventional Cardiology
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: None listed
Hospital Privileges: Ascension St. John Medical Center
Tulsa, OK
Oklahoma Heart Hospital - North Campus (4050 W. Memorial Rd)
Oklahoma City, OK
Stillwater Medical Center
Stillwater, OK
Locations: Hours: Languages:
SIEGFRIED TOWER 4TH FLOOR
1923 SOUTH UTICA AVENUE
TULSA OK 74104

Phone #: (918) 748-7650
Fax #: (918) 403-6341
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:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
KRISTEN MASHBURN APRN 91113
RACHEL MATHEW APRN 78436

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