CHRUSCIEL, DEEPTI GANTI - Licensee Information

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Last Update: Sunday, May 12, 2024 6:57 PM CDT
Next Update: Monday, May 13, 2024 2:50 AM CDT

CHRUSCIEL, DEEPTI GANTI

Practice Address:	1200 N CHILDRENS AVENUE SUITE 7F OKLAHOMA CITY OK 73104-5036 Address last updated on 10/24/2023
Phone #:	(405) 271-2244
Fax #:	(405) 271-2144
County:	OKLAHOMA
License:	29424
Dated:	8/27/2012
Expires:	8/1/2024
License Type:	Medical Doctor
Specialty:	Child Neurology

Status:	Active
Status Class:	Fully Licensed
Restricted to:
Registered to Dispense:	NO
Medical School:	ST LOUIS UNIV SCH OF MED, ST LOUIS MO 63104
Graduated:	5 / 2007
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 PSYCHIATRY AND NEUROLOGY (Neurology w/ Child Neurology)
New Patients:	Yes
Medicaid:	Yes
Medicare:	No

HMO/PPO:	None listed
Hospital Privileges:	Hospital Not Listed ,

Locations:	Hours:	Languages:
1200 N CHILDRENS AVENUE SUITE 7F OKLAHOMA CITY OK 73104-5036 Phone #: (405) 271-2244 Fax #: (405) 271-2144	Mon: 8:00AM - 5:00PM Tue: 8:00AM - 5:00PM Wed: 8:00AM - 5:00PM Thu: 8:00AM - 5:00PM Fri: 8:00AM - 5:00PM Sat: Sun:

Name:	Type:	License Number:
Primary Supervisees(s):
CHRISTOPHER COOK	APRN	85525
COREY DANIEL HILL	PA	4455