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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Sunday, December 22, 2024 6:44 PM CST
Next Update: Monday, December 23, 2024 2:50 AM CST

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LANDGE, VIKRANT LAXMAN       
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: PHYSICIANS CLINIC
SUITE 102
1401 W LOCUST ST
STILWELL OK 74960

Address last updated on 10/29/2024
Phone #: (918) 696-4065
Fax #: (918) 696-5983
County: ADAIR
License: 31016
Dated: 12/22/2014
Expires: 12/1/2025
License Type: Medical Doctor
Specialty: Orthopedic Surgery
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: YES
Medical School: Seth G S Med Coll, Maharashtra Univ of Hlth Sci, Maharashtra, India
Graduated: 12 / 2002
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:
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: Aetna HMO
Aetna PPO
Blue Cross Blue Shield-Blue Preferred
Blue Cross Blue Shield-Blue Traditional
Blue Cross Blue Shield-Plan 65 Select
Coventry Health Care National Network
Global Health HMO
HealthChoice
Humana Tricare/PGBA
Multiplan PPO
SoonerCare PPO
Tricare for Life
Tricare Standard
Hospital Privileges: Memorial Hospital of Stilwell
Stilwell, OK
Wagoner Community Hospital
Wagoner, OK
Locations: Hours: Languages:
PHYSICIANS CLINIC
SUITE 102
1401 W LOCUST ST
STILWELL OK 74960

Phone #: (918) 696-4065
Fax #: (918) 696-5983
Mon:
Tue: 9:00AM - 4:00PM
Wed:
Thu:
Fri: 9:00AM - 4:00PM
Sat:
Sun:
1200 W Cherokee St
Suite F
Wagoner, OK 74467918

Phone #: (918) 485-5514
Fax #: (10) 202-
Mon:
Tue:
Wed: 9:00AM - 3:30PM
Thu: 9:00AM - 3:30PM
Fri:
Sat:
Sun:
1401 W Locust St
Suite 102
Stilwell, OK 74960

Phone #: (918) 696-3101
Fax #: (7) 201-
Mon:
Tue: 9:00AM - 4:30PM
Wed:
Thu: 1:00PM - 4:30PM
Fri:
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
PHILIP DEAN WATSON PA 1463

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