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Next Update: Thursday, December 19, 2024 2:50 AM CST
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MATHEW, POYANIL MATHEW
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This verification service provides current data extracted by the Oklahoma State Board of Medical Licensure and Supervision (OSBMLS) from its own database. The data enclosed in the green box below is provided by and controlled entirely by the OSBMLS and therefore constitutes a primary source verification of licensure status as authentic as a direct inquiry to the OSBMLS. NPI# and hospital privileges (if any) are provided by the licensee and not verified.
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| Practice Address: |
21 MUNICIPAL DRIVE
ARNOLD MO 63010
Address last updated on 8/4/2003 |
| Phone #: |
(636) 296-6206 |
| Fax #: |
(636) 296-0102 |
| County: |
NOT OKLAHOMA |
| License: |
10361 |
| Dated: |
9/12/1974 |
| Expires: |
9/1/2005 |
| License Type: |
Medical Doctor |
| Specialty: |
Psychiatry
Geriatric Psychiatry |
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| Status: |
Inactive |
| Status Class: |
Expired License |
| Restricted to: |
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| Registered to Dispense: |
NO |
| Medical School: |
Andhra Med Coll, NTR Univ of Med Sci, Visakhapatnam, AP, India |
| Graduated: |
4 /
1954 |
| CME Year: |
2006 |
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Pending and/or Past Disciplinary Actions:
No Disciplinary Action Taken.
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All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
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| Certifications: |
AMERICAN BOARD OF PSYCHIATRY AND NEUROLOGY |
| New Patients: |
No |
| Medicaid: |
No |
| Medicare: |
No |
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| HMO/PPO: |
Aetna PPO
United Healthcare HMO
United Healthcare Options PPO |
| Hospital Privileges: |
None listed |
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