Oklahoma State SealOklahoma State Seal
Oklahoma Board of Medical Licensure and Supervision

Search Results

Last Update: Wednesday, December 18, 2024 6:43 PM CST
Next Update: Thursday, December 19, 2024 2:50 AM CST

Return to Search Licensees page

KETCHANDJI, MELANIE NYEH       
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 UROLOGY
1145 S UTICA AVE
SUITE 202
TULSA OK 74104-4022

Address last updated on 6/12/2024
Phone #: (918) 579-3130
Fax #: (918) 579-3139
County: TULSA
License: 31609
Dated: 7/1/2015
Expires: 7/1/2025
License Type: Medical Doctor
Specialty: Urology
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of Tx Med Branch Galveston, Galveston Tx 77550
Graduated: 5 / 2009
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 UROLOGY
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: None listed
Hospital Privileges: Hillcrest Hospital South
Tulsa, OK
Hillcrest Medical Center
Tulsa, OK
Oklahoma Spine Hospital
Oklahoma City, OK
OSU Medical Center (formerly Tulsa Regional Medical Center)
Tulsa, OK
Locations: Hours: Languages:
UTICA PARK CLINIC UROLOGY
1145 S UTICA AVE
SUITE 202
TULSA OK 74104-4022

Phone #: (918) 579-3130
Fax #: (918) 579-3139
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:
ALEXANDRIA HEINZE PA 5254
BIENVENUE KNOWLES APRN 107593
MERCEDES QUIRING PA 5192

Return to Search Licensees page