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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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GEORGE, MINU MATHEW       
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: 1200 CHILDRENS AVE SUITE:4D
OKLAHOMA CITY OK 73104

Address last updated on 4/3/2024
Phone #: (405) 271-6764
Fax #: (405) 271-3093
County: OKLAHOMA
License: 27866
Dated: 6/15/2010
Expires: 6/1/2025
License Type: Medical Doctor
Specialty: Pediatrics
Pediatric Endocrinology
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: SUNY, DWNSTATE M C COLL MED, BROOKLYN NY 11203
Graduated: 12 / 2003
CME Year: 2025
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 PEDIATRICS
AMERICAN BOARD OF PEDIATRICS - Pediatric Endocrinology
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: OU Health Medical Center
Oklahoma City, OK
Locations: Hours: Languages:
1200 CHILDRENS AVE SUITE:4D
OKLAHOMA CITY OK 73104

Phone #: (405) 271-6764
Fax #: (405) 271-3093
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
KELLE GASKE APRN 68098
ALEXANDRA MARTIN APRN 113709

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