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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Monday, December 23, 2024 1:13 PM CST
Next Update: Monday, December 23, 2024 4:30 PM CST

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GURUNG, PRITI       
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: 1120 S UTICA AVENUE
TULSA OK 74104

Address last updated on 6/10/2024
Phone #: (918) 629-8281
Fax #:
County: TULSA
License: 27849
Dated: 7/1/2012
Expires: 7/1/2025
License Type: Medical Doctor
Specialty: Family Medicine
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: Manipal Coll of Med Sci, Pokhara, Kaski District, Nepal
Graduated: 7 / 2003
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 FAMILY MEDICINE
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: Ascension St. John Medical Center
Tulsa, OK
Hillcrest Medical Center
Tulsa, OK
Locations: Hours: Languages:
1120 S UTICA AVENUE
TULSA OK 74104

Phone #: (918) 629-8281
Fax #:
Mon: 7:00AM - 7:00PM
Tue: 7:00AM - 7:00PM
Wed: 7:00AM - 7:00PM
Thu: 7:00AM - 7:00PM
Fri: 7:00AM - 7:00PM
Sat: 7:00AM - 7:00PM
Sun: 7:00AM - 7:00PM 7 DAYS ON 7 DAYS OFF
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
NICOLE ST. AMANT COBURN PA 3176
ANITA RAQUEL RAMIREZ PA 3165

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