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Last Update: Tuesday, April 30, 2024 2:08 PM CDT
Next Update: Tuesday, April 30, 2024 4:30 PM CDT

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BOMMASAMUDRAM, PAVANKUMAR
Practice Address: REGIONAL BRAIN INSTITUTE
6120 YALE AVE
SUITE 1210
TULSA OK 74136-3573

Address last updated on 12/20/2023
Phone #: (918) 888-5211
Fax #: (918) 888-5270
County: TULSA
License: 27309
Dated: 7/1/2011
Expires: 7/1/2024
License Type: Medical Doctor
Specialty: Internal Medicine
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: Ross Univ, Sch of Med, Roseau, Dominica
Graduated: 5 / 2008
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: ABPS - Internal Medicine
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: Creek Nation Community Hospital
Okemah, OK
Eastern Oklahoma Medical Center
Poteau, OK
Hillcrest Hospital South (fmly SouthCrest)
Tulsa, OK
Hillcrest Medical Center
Tulsa, OK
Hospital(s) Not In Oklahoma
,
INTEGRIS Canadian Valley Regional Hospital
Yukon, OK
INTEGRIS Deaconess Campus (fmly Deaconess Hospital)
Oklahoma City, OK
McAlester Regional Health Center
McAlester, OK
Northeastern Health System (formerly Tahlequah City Hospital)
Tahlequah, OK
OU Medical Center
Oklahoma City, OK
OU Medical Center - Edmond
Edmond, OK
Ponca City Medical Center -CHS (frmly Via Christi)
Ponca City, OK
SSM St Anthony Midwest Regional Medical Center
Midwest City, OK
Locations: Hours: Languages:
REGIONAL BRAIN INSTITUTE
6120 YALE AVE
SUITE 1210
TULSA OK 74136-3573

Phone #: (918) 888-5211
Fax #: (918) 888-5270
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
ALLISON RUSSELL BARTON PA 3161
BRETT JONATHAN BENNETT PA 999
ERIN MARIE CAPPS PA 2074
JAYNE ELIZABETH CONTRERAS PA 2103
KAYLYNN COATS ELMORE PA 1953
RENHONG FRITTS PA 4884
MINI GEORGE PA 1334
LAURA KATHRYN HOLMAN PA 2726
BRENT JACKSON APRN 10172
KELSEY NICOLE KLEIN PA 2391
JENNIFER RENEE MEANS PA 2084
DAVID JOSEPH OLSON PA 2248
MEGHAN ELISE SALIBA PA 2649
RICHELLE CHRISTINE VOTH PA 2427

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