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Oklahoma Board of Medical Licensure and Supervision

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Next Update: Thursday, May 2, 2024 12:00 PM CDT

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MAMALIS, NICHOLAS DEMETRIOS
Practice Address: 6465 S YALE SUITE 1002
TULSA OK 74136

Address last updated on 4/1/2011
Phone #: (918) 481-4700
Fax #: (918) 481-4709
County: TULSA
License: 13647
Dated: 5/17/1982
Expires: 6/30/2011
License Type: Medical Doctor
Specialty: Gastroenterology
Internal Medicine
Status: Inactive
Status Class: Deceased
Restricted to:
Registered to Dispense: NO
Medical School: Emory Univ Sch Of Med, Atlanta GA 30322
Graduated: 6 / 1977
CME Year: 2013
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: No
Medicaid: No
Medicare: No
   
HMO/PPO: Aetna Elect Choice
Aetna HMO
Aetna Managed Choice
Aetna PPO
Beechstreet PPO
Blue Cross Blue Shield-Blue Preferred
Blue Cross Blue Shield-Blue Traditional
Blue Cross Blue Shield-Plan 65 Select
BlueChoice PPO
BlueLincs HMO
CCN Managed Care
CIGNA HMO
CIGNA PPO
CommunityCare HMO, Inc
CommunityCare Senior HMO
CompMed
First Health
Great West Healthcare
HealthChoice
Humana ChoiceCare
Humana Medicare Advantage PPO
Medicare Blue
OSMA Health (formerly Plico PPO)
PacifiCare of Oklahoma, Inc
PHCS (Private Healthcare Systems)
PPO USA
Preferred Community Choice
Private Healthcare Systems (PHCS)
Railroad Medicare
SoonerCare HMO
United Healthcare Choice
United Healthcare EPO
United Healthcare HMO
United Healthcare Options PPO
United Healthcare POS
Hospital Privileges: None listed
Locations: Hours: Languages:
6465 S YALE SUITE 1002
TULSA OK 74136

Phone #: (918) 481-4700
Fax #: (918) 481-4709

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