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Oklahoma Board of Medical Licensure and Supervision

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SREENIVAS, NANJAPPA       
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.
Practice Address: 2610 EMERALD LAKE DR
RIO GRANDE STATE CENTER P.O. BOX 2668
RANGERVILLE ROAD
HARLINGEN TX 78550-8614
Phone #: (956) 425-8900 x282
Fax #:
County: NOT OKLAHOMA
License: 11183
Dated: 4/5/1977
Expires: 4/1/2010
License Type: Medical Doctor
Specialty: Psychiatry
Family Medicine
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Bangalore Med Coll, Bangalore Univ, Bangalore, Karnataka, India
Graduated: 12 / 1967
CME Year: 2010
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:
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: Hospital Not Listed
,
Locations: Hours: Languages:
2610 EMERALD LAKE DR
RIO GRANDE STATE CENTER P.O. BOX 2668
RANGERVILLE ROAD
HARLINGEN TX 78550-8614

Phone #: (956) 425-8900 x282
Fax #:
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: 8:00AM - 5:00PM
Hindi

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