Search Results
Last Update: Thursday, December 19, 2024 3:44 AM CST
Next Update: Thursday, December 19, 2024 12:00 PM CST
Return to Search Licensees page
KODURU, PRAMODA
|
|
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: |
8121 NATIONAL AVENUE
SUITE 303
MIDWEST CITY OK 73110
Address last updated on 2/19/2024 |
| Phone #: |
(405) 737-4464 |
| Fax #: |
(405) 455-7929 |
| County: |
OKLAHOMA |
| License: |
33578 |
| Dated: |
4/24/2018 |
| Expires: |
4/1/2025 |
| License Type: |
Medical Doctor |
| Specialty: |
Gastroenterology
Internal Medicine |
|
| Status: |
Active |
| Status Class: |
Fully Licensed |
| Restricted to: |
|
| Registered to Dispense: |
NO |
| Medical School: |
Gandhi Med Coll, NTR Univ of Hlth Sci, Secunderabad, AP, India |
| Graduated: |
4 /
2006 |
| 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 INTERNAL MEDICINE
AMERICAN BOARD OF INTERNAL MEDICINE - Gastroenterology |
| New Patients: |
Yes |
| Medicaid: |
Yes |
| Medicare: |
Yes |
| |
|
| HMO/PPO: |
Aetna HMO
Aetna Managed Choice
Aetna PPO
Blue Cross Blue Shield-Blue Preferred
Blue Cross Blue Shield-Blue Traditional
Blue Cross Blue Shield-Plan 65 Select
BlueChoice PPO
BlueLincs HMO
CIGNA HMO
CIGNA PPO
First Health
Global Health HMO
Health Smart Preferred Care (HSPC)
HealthChoice
Humana Medicare Advantage PPO
Humana Tricare/PGBA
Oklahoma Health Network PPO
OSMA Health (formerly Plico PPO)
PPO Oklahoma
Preferred Community Choice
Preferred Health Network-ppoNEXT
Railroad Medicare
Secure Horizons HMO
Tricare for Life
Tricare Standard
United Healthcare Choice
United Healthcare Options PPO
United Healthcare POS |
| Hospital Privileges: |
INTEGRIS Baptist Medical Center
Oklahoma City, OK
INTEGRIS Edmond
Edmond, OK
Oklahoma Heart Hospital - South Campus (5200 I-240 Service Rd)
Oklahoma City, OK
OU Health - Edmond (frmrly Edmond Medical Center)
Edmond, OK
SSM St Anthony Midwest Regional Medical Center
Midwest City, OK
|
|
|
|
|
Return to Search Licensees page
