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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Friday, November 22, 2024 6:42 PM CST
Next Update: Saturday, November 23, 2024 2:50 AM CST

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GUPTA, NEHA       
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: OKLAHOMA CHILDRENS HOSPITAL
1200 EVERETT DRIVE
SUITE 8305
OKLAHOMA CITY OK 73104

Address last updated on 11/19/2024
Phone #: (405) 271-4700
Fax #:
County: OKLAHOMA
License: 34405
Dated: 1/10/2019
Expires: 1/1/2026
License Type: Medical Doctor
Specialty: Pediatrics
Pediatric Critical Care Medicine
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: Netaji S Chandra Bose M C, Rani D Vishwavidyalaya Univ, Jabalpur, MP, India
Graduated: 8 / 2012
CME Year: 2028
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 PEDIATRICS
AMERICAN BOARD OF PEDIATRICS - Pediatric Critical Care Medicine
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
OKLAHOMA CHILDRENS HOSPITAL
1200 EVERETT DRIVE
SUITE 8305
OKLAHOMA CITY OK 73104

Phone #: (405) 271-4700
Fax #:
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
JULIE ANN BISHOP PA 4591
EMILYANNE NICOLE CLARK PA 4857
ASHLYNN ELIZABETH GARZON PA 3023
KATRIN GREEN PA 2250
COURTNEY NICOLE JERSEY PA 4390
SHELBY RAE JESTER PA 2915

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