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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Thursday, December 19, 2024 3:44 AM CST
Next Update: Thursday, December 19, 2024 12:00 PM CST

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KODE, RAVI KIRAN       
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: 1923 S. UTICA AVE
4TH FLOOR SIGFRIED TOWER
ST JOHNS CLINIC CARDIOVASCULAR INSTITUTE
TULSA OK 74104

Address last updated on 6/4/2024
Phone #: (918) 748-7680
Fax #: (918) 293-3147
County: TULSA
License: 29987
Dated: 7/29/2013
Expires: 7/1/2025
License Type: Medical Doctor
Specialty: Cardiovascular Disease
Internal Medicine
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: YES
Medical School: St George's Univ, Sch Of Med, St George's, Grenada
Graduated: 5 / 2005
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 INTERNAL MEDICINE - Cardiovascular Disease
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: None listed
Hospital Privileges: Ascension St. John Medical Center
Tulsa, OK
Locations: Hours: Languages:
1923 S. UTICA AVE
4TH FLOOR SIGFRIED TOWER
ST JOHNS CLINIC CARDIOVASCULAR INSTITUTE
TULSA OK 74104

Phone #: (918) 748-7680
Fax #: (918) 293-3147
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
TAMARA CEPHAS APRN 87130
SHANNON ESPY APRN 80904
KELLEY WOODS APRN 99829

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