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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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DAMODARAN, THARA RANI       
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: 4509 INTEGRIS PARKWAY
SUITE 300
4509 INTEGRIS PARKWAY SUITE 200
EDMOND OK 73034

Address last updated on 3/2/2024
Phone #: (480) 720-8744
Fax #:
County: OKLAHOMA
License: 31085
Dated: 4/13/2015
Expires: 4/1/2025
License Type: Medical Doctor
Specialty: Infectious Disease
Internal Medicine
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: Med Coll, Univ Of Kerala, Trivandrum, Kerala, India
Graduated: 12 / 1997
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: ABPS - Internal Medicine
AMERICAN BOARD OF INTERNAL MEDICINE - Infectious Disease
New Patients: No
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: None listed
Hospital Privileges: Comanche County Memorial Hospital
Lawton, OK
Cornerstone Specialty Hospital - Shawnee
Shawnee, OK
INTEGRIS Edmond
Edmond, OK
Mercy Hospital OKC
Oklahoma City, OK
Oklahoma Heart Hospital - North Campus (4050 W. Memorial Rd)
Oklahoma City, OK
Rural Wellness - Anadarko (fmly Physicians Hospital)
Anadarko, OK
Rural Wellness - Fairfax (fmly Fairfax Mem. Hosp.)
Fairfax, OK
Rural Wellness Stroud (fmly Stroud Regional Med. Ctr.)
Stroud, OK
Locations: Hours: Languages:
4509 INTEGRIS PARKWAY
SUITE 300
4509 INTEGRIS PARKWAY SUITE 200
EDMOND OK 73034

Phone #: (480) 720-8744
Fax #:
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
JESSICA DAVIS APRN 18096

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