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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Friday, April 26, 2024 9:11 AM CDT
Next Update: Friday, April 26, 2024 12:00 PM CDT

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KADIVAR, ARYAN PARKER
Practice Address: 916 SW 38TH ST
SUITE D
LAWTON OK 73505

Address last updated on 7/3/2023
Phone #: (580) 699-7699
Fax #: (580) 699-7698
County: COMANCHE
License: 24162
Dated: 9/22/2005
Expires: 9/1/2024
License Type: Medical Doctor
Specialty: Family Medicine
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: YES
Medical School: Ross Univ, Sch of Med, Roseau, Dominica
Graduated: 4 / 2001
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 FAMILY MEDICINE
New Patients: Yes
Medicaid: No
Medicare: Yes
   
HMO/PPO: Aetna PPO
Blue Cross Blue Shield-Blue Traditional
Blue Cross Blue Shield-Plan 65 Select
BlueChoice PPO
CIGNA PPO
CompMed
Coventry Health Care National Network
First Health
HealthChoice
Multiplan PPO
PHCS (Private Healthcare Systems)
Private Healthcare Systems (PHCS)
Railroad Medicare
SoonerCare HMO
Tricare for Life
United Healthcare EPO
United Healthcare POS
Hospital Privileges: Comanche County Memorial Hospital
Lawton, OK
Great Plains Ambulatory Surgical Center
Lawton, OK
Southwestern Medical Center
Lawton, OK
Locations: Hours: Languages:
916 SW 38TH ST
SUITE D
LAWTON OK 73505

Phone #: (580) 699-7699
Fax #: (580) 699-7698
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
CARL RONALD BERG PA 1853
AUTUMN MCKILLIP APRN 6257
WILLIAM CHRISTOPHER PETTY PA 5058
NATALIE SMITH APRN 51985

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