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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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CHRUSCIEL, DEEPTI GANTI       
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: 6800 NW 39TH EXPRESSWAY
OKLAHOMA CITY OK 73008

Address last updated on 6/9/2024
Phone #: (405) 440-9866
Fax #: (405) 438-3834
County: OKLAHOMA
License: 29424
Dated: 8/27/2012
Expires: 8/1/2025
License Type: Medical Doctor
Specialty: Child Neurology
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: ST LOUIS UNIV SCH OF MED, ST LOUIS MO 63104
Graduated: 5 / 2007
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 PSYCHIATRY AND NEUROLOGY (Neurology w/ Child Neurology)
New Patients: Yes
Medicaid: Yes
Medicare: No
   
HMO/PPO: None listed
Hospital Privileges: Bethany Children's Health Center (frmly The Children's Center)
Bethany, OK
Hospital Not Listed
,
Locations: Hours: Languages:
6800 NW 39TH EXPRESSWAY
OKLAHOMA CITY OK 73008

Phone #: (405) 440-9866
Fax #: (405) 438-3834
Mon: 8:00AM - 5:00PM
Tue: 8:00AM - 5:00PM
Wed: 8:00AM - 5:00PM
Thu: 8:00AM - 5:00PM
Fri: 8:00AM - 5:00PM
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
CHRISTOPHER COOK APRN 85525
COREY DANIEL HILL PA 4455

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