JOSHI, SUJAN - Licensee Information - Oklahoma Medical Board

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Last Update: Thursday, May 9, 2024 1:43 PM CDT
Next Update: Thursday, May 9, 2024 4:30 PM CDT

JOSHI, SUJAN View on

Practice Address:	UTICA PARK CLINIC 2617 SOUTH ELM PLACE BROKEN ARROW OK 74012 Address last updated on 6/20/2023
Phone #:	(918) 455-4541
Fax #:	(918) 449-9743
County:	TULSA
License:	26280
Dated:	7/1/2010
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:	Inst of Applied Hlth Sciences, Chittagong, Bangladesh
Graduated:	1 / 2004
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 FAMILY MEDICINE
New Patients:	Yes
Medicaid:	Yes
Medicare:	Yes

HMO/PPO:	Aetna Elect Choice Aetna HMO Aetna Managed Choice Aetna PPO BCE Emergis 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 Champ VA CIGNA HMO CIGNA PPO CommunityCare HMO, Inc CommunityCare Senior HMO CompMed Coventry Health Care National Network Evolutions Healthcare First Health Global Health HMO Great West Healthcare HealthChoice Humana ChoiceCare Humana Medicare Advantage PPO Humana Tricare/PGBA Medicare Blue Multiplan PPO National Preferred Provider Network (NPPN) Oklahoma Health Network PPO One Health Plan PPO OSMA Health (formerly Plico PPO) Pacificare Commercial HMO PacifiCare of Oklahoma, Inc PHCS (Private Healthcare Systems) Physicians Direct Network PPO Oklahoma PPO USA Preferred Community Choice Preferred Health Network-ppoNEXT Private Healthcare Systems (PHCS) Pronet Railroad Medicare Secure Horizons HMO SoonerCare HMO SoonerCare PPO Sparks Premiercare Tricare for Life Tricare Standard Tyson Preferred Network (TPN) United Healthcare Choice United Healthcare EPO United Healthcare HMO United Healthcare Options PPO United Healthcare POS United Insurance Welcor/Sooner
Hospital Privileges:	None listed

Locations:	Hours:	Languages:
UTICA PARK CLINIC 2617 SOUTH ELM PLACE BROKEN ARROW OK 74012 Phone #: (918) 455-4541 Fax #: (918) 449-9743	Mon: Tue: Wed: Thu: Fri: Sat: Sun:

Name:	Type:	License Number:
Primary Supervisees(s):
KIMBERLY SMALLWOOD	APRN	91402
TANA STUTZMAN	APRN	71260