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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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RAJU, SENTHIL KUMAR       
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: SSM HEALTH ST ANTHONY HOSPITAL
1000 N LEE AVE
OKLAHOMA CITY OK 73102

Address last updated on 10/23/2024
Phone #: (405) 513-4591
Fax #: (405) 708-7884
County: OKLAHOMA
License: 26716
Dated: 11/4/2008
Expires: 11/1/2025
License Type: Medical Doctor
Specialty: Hospitalist
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: YES
Medical School: Kilpauk Med Coll, Dr M G R Med Univ, Madras, TN, India
Graduated: 3 / 1997
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 FAMILY MEDICINE
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: Inspire Specialty Hospital of Midwest City
Midwest City, OK
Norman Regional Healthplex
Norman, OK
Norman Regional Hospital
Norman, OK
SSM Health St. Anthony Hospital - OKC
Oklahoma City, OK
Locations: Hours: Languages:
SSM HEALTH ST ANTHONY HOSPITAL
1000 N LEE AVE
OKLAHOMA CITY OK 73102

Phone #: (405) 513-4591
Fax #: (405) 708-7884
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
JULIE FORDON APRN 6962
JEANNETH HERNANDEZ APRN 9313
JOHN JORDAN APRN 112708
TIFFANY LIPSCOMB APRN 4971
PAMELA MIGLIACCIO APRN 92469
REBECCA POE APRN 80942
SERGIO ARMANDO PORRAS PA 2443
HEATHER WALKER APRN 117866
CINDA WILLIAMS APRN 1814
MERIDETH YARBROUGH APRN 120903

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