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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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NACHIMUTHU, LATHA       
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: 4300 W MEMORIAL RD
OKLAHOMA CITY OK 73120

Address last updated on 5/22/2024
Phone #:
Fax #:
County: OKLAHOMA
License: 35008
Dated: 7/29/2019
Expires: 7/1/2025
License Type: Medical Doctor
Specialty: Internal Medicine
Geriatric Medicine (Internal Medicine)
Palliative Medicine
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: Madurai Med Coll, T N Dr M G R Med Univ, Madurai, TN, India
Graduated: 3 / 1992
CME Year: 2025
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
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: SSM Health St. Anthony Hospital - OKC
Oklahoma City, OK
Locations: Hours: Languages:
4300 W MEMORIAL RD
OKLAHOMA CITY OK 73120

Phone #:
Fax #:
Mon:
Tue:
Wed:
Thu:
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Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
MONICA LAWSON APRN 71763

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