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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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CHAINAKUL, WEERA       
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: UTICA PARK CLINIC - GENERAL SURGERY
1809 E 13TH STREET SUITE 400
TULSA OK 74104

Address last updated on 5/26/2024
Phone #: (918) 599-8200
Fax #:
County: TULSA
License: 28631
Dated: 6/8/2011
Expires: 6/1/2025
License Type: Medical Doctor
Specialty: General Surgery
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduated: 5 / 2006
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 SURGERY
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: None listed
Hospital Privileges: Baily Medical Center
Owasso, OK
Henryetta Medical Center
Henryetta, OK
Hillcrest Hospital Claremore (fmly Claremore Regional)
Claremore, OK
Hillcrest Medical Center
Tulsa, OK
Tulsa Spine & Specialty Hospital
Tulsa, OK
Locations: Hours: Languages:
UTICA PARK CLINIC - GENERAL SURGERY
1809 E 13TH STREET SUITE 400
TULSA OK 74104

Phone #: (918) 599-8200
Fax #:
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
SHANNON NICOLE DELLOIACONO PA 2061

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