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Last Update: Saturday, December 21, 2024 3:49 AM CST
Next Update: Saturday, December 21, 2024 12:00 PM CST

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TANAKA, KENICHI       
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: OU PHYSICIANS DEPT OF ANESTHESIOLOGY
920 STANTON L YOUNG BLVD
WP1140
OKLAHOMA CITY OK 73104-5036

Address last updated on 11/11/2024
Phone #: (405) 271-4351
Fax #:
County: OKLAHOMA
License: 37436
Dated: 12/7/2020
Expires: 12/1/2025
Temp. Lic. Issued: 11/2/2020
Temp. Lic. Expires: 1/21/2021
License Type: Medical Doctor
Specialty: Anesthesiology
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: YES
Medical School: KEIO GIJUKU UNIV, SCH OF MED, SHINJUKU-KU, TOKYO, JAPAN
Graduated: 3 / 1992
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 ANESTHESIOLOGY
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
OU PHYSICIANS DEPT OF ANESTHESIOLOGY
920 STANTON L YOUNG BLVD
WP1140
OKLAHOMA CITY OK 73104-5036

Phone #: (405) 271-4351
Fax #:
Mon:
Tue:
Wed:
Thu:
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Sat:
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