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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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WASTI, PRANAV       
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: ST JOHN MEDICAL CENTER
1923 S UTICA AVE
TULSA OK 74104

Address last updated on 3/14/2024
Phone #: (918) 744-3131
Fax #:
County: TULSA
License: 39345
Dated: 5/4/2022
Expires: 5/1/2025
License Type: Medical Doctor
Specialty: Internal Medicine
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: Manipal Coll of Med Sci, Pokhara, Kaski District, Nepal
Graduated: 9 / 2005
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: Ascension St. John - Owasso
Owasso, OK
Ascension St. John - Sapulpa
Sapulpa, OK
Ascension St. John Hospital - Broken Arrow
Broken Arrow, OK
Ascension St. John Jane Phillips Medical Center
Bartlesville, OK
Ascension St. John Medical Center
Tulsa, OK
Locations: Hours: Languages:
ST JOHN MEDICAL CENTER
1923 S UTICA AVE
TULSA OK 74104

Phone #: (918) 744-3131
Fax #:
Mon:
Tue:
Wed:
Thu:
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Sun:
3350 SW 148th Ave
Suite 300
Miramar, FL 33027

Phone #: (888) 412-6681
Fax #: (12) 202-
Mon:
Tue:
Wed:
Thu:
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Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
DENISE BEARD APRN 77722
ROBERTA PALMER APRN 39136
ANAIDRA REESE APRN 14935
MARGARET SCIFRES APRN 57107
SHEREE SMITH APRN 7012
TAMMY WILLIAMS APRN 83947

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