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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Friday, November 22, 2024 6:42 PM CST
Next Update: Saturday, November 23, 2024 2:50 AM CST

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SHAH, KAVITA KIRTI       
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: 4720 SOUTH HARVARD SUITE 100
TULSA OK 74135

Address last updated on 10/1/2024
Phone #:
Fax #:
County: TULSA
License: 28092
Dated: 9/23/2010
Expires: 9/1/2025
License Type: Medical Doctor
Specialty: MEDICINE/PEDIATRICS
Diabetes
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: UNIV OF MO-KANSAS CITY SCH OF MED, KANSAS CITY MO 64108
Graduated: 5 / 2006
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 INTERNAL MEDICINE
AMERICAN BOARD OF PEDIATRICS
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
4720 SOUTH HARVARD SUITE 100
TULSA OK 74135

Phone #:
Fax #:
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Tue:
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Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
ERIN MARIE CAPPS PA 2074
JAYNE ELIZABETH CONTRERAS PA 2103
KAYLYNN COATS ELMORE PA 1953
LAURA KATHRYN HOLMAN PA 2726
KELSEY NICOLE KLEIN PA 2391
JENNIFER RENEE MEANS PA 2084

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