Oklahoma State SealOklahoma State Seal
Oklahoma Board of Medical Licensure and Supervision

Search Results

Last Update: Tuesday, May 7, 2024 4:48 AM CDT
Next Update: Tuesday, May 7, 2024 12:00 PM CDT

Return to Search Licensees page

DAVE, MAYANK NANDKISHOR
Practice Address: 3401 W. GORE BLVD
HOSPITALIST GROUP
LAWTON OK 73505

Address last updated on 6/8/2023
Phone #: (580) 510-7037
Fax #: (580) 510-7038
County: COMANCHE
License: 25648
Dated: 7/1/2009
Expires: 7/1/2024
License Type: Medical Doctor
Specialty: Family Medicine
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: Tver State Med Academy, Tver, Russia
Graduated: 6 / 2001
CME Year: 2024
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: None listed
Hospital Privileges: Comanche County Memorial Hospital
Lawton, OK
Locations: Hours: Languages:
3401 W. GORE BLVD
HOSPITALIST GROUP
LAWTON OK 73505

Phone #: (580) 510-7037
Fax #: (580) 510-7038
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
1612 W Gore Blvd
Lawton, OK 73501

Phone #: (580) 280-2201
Fax #: (1) 202-
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
COTY BARLOW APRN 89488
JEFFERY BARLOW APRN 83548
YUMEE BODENHAMER APRN 89289
BRENT BYERS APRN 69144
FABIAN GALLEGOS APRN 106503
ANGELA LYNN GIBBONS PA 4445
INGRID GUTIERREZ APRN 15133
LAURA MILLER APRN 87656
LEAH NEWTON APRN 11638
LAUREN DANIELLE UKLEYA PA 4461
DARBI WILLIAMS APRN 110449
APRIL ZUMWALT APRN 105645

Return to Search Licensees page