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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Monday, December 23, 2024 3:49 AM CST
Next Update: Monday, December 23, 2024 12:00 PM CST

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GHATA, GEORGE       
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: SSM HEALTH BONE AND JOINT/OSOI
1110 N DEWEY AVE
OKLAHOMA CITY OK 73103

Address last updated on 5/12/2024
Phone #: (405) 218-2530
Fax #: (405) 218-2535
County: OKLAHOMA
License: 32460
Dated: 7/1/2017
Expires: 7/1/2025
License Type: Medical Doctor
Specialty: Family Medicine
Sports Medicine (Family Practice)
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: YES
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduated: 5 / 2016
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: AMERICAN BOARD OF FAMILY MEDICINE
AMERICAN BOARD OF FAMILY MEDICINE - Sports Medicine
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: None listed
Hospital Privileges: Purcell Municipal Hospital
Purcell, OK
SSM Health St. Anthony Hospital - OKC
Oklahoma City, OK
St. Anthony Healthplex - South Campus (I-44 & SW 134th St)
Oklahoma City, OK
Locations: Hours: Languages:
SSM HEALTH BONE AND JOINT/OSOI
1110 N DEWEY AVE
OKLAHOMA CITY OK 73103

Phone #: (405) 218-2530
Fax #: (405) 218-2535
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
13500 S Tulsa Dr
Oklahoma City, OK 73170

Phone #: (405) 218-2530
Fax #: (1) 202-
Mon: 7:30AM - 3:00PM
Tue:
Wed:
Thu:
Fri: 7:30AM - 3:00PM
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
DELFINO VALLEJO BECERRA AT 307
CHRISTIAN TAYLOR MOODY AT 1284
SHAKOTA LACY CHEYENNE NEAL AT 1365
MACKENNA NOLAND AT 1337
KYLEE ELISABETH SHOWALTER AT 1291

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