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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Sunday, April 28, 2024 4:03 AM CDT
Next Update: Sunday, April 28, 2024 12:00 PM CDT

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NAIDU, THATCHA
Practice Address: SSM HEALTH SAINT ANTHONY HOSPITAL
608 NW 9TH STREET
SUITE 220
OKLAHOMA CITY OK 73102

Address last updated on 4/8/2024
Phone #: (405) 213-3737
Fax #:
County: OKLAHOMA
License: 4457
Dated: 11/2/2020
Expires: 3/31/2025
Temp. Ltr. Issued: 9/3/2020
Temp. Ltr. Expires: 11/5/2020
License Type: Physician Assistant
Specialty:
Status: Active
Status Class: Fully Licensed
Restricted to:
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.
Locations: Hours: Languages:
SSM HEALTH SAINT ANTHONY HOSPITAL
608 NW 9TH STREET
SUITE 220
OKLAHOMA CITY OK 73102

Phone #: (405) 213-3737
Fax #:

Hospital Privileges:

None listed

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
SENTHIL NACHIMUTHU MD 27598

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