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MANNE, KISHORE B.
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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: |
1720 LOUISIANA BLVD N E
SUITE 401
ALBUQUERQUE NM 87110
Address last updated on 5/29/2018 |
Phone #: |
(505) 260-4300 |
Fax #: |
(505) 260-4338 |
County: |
NOT OKLAHOMA |
License: |
11716 |
Dated: |
6/1/1978 |
Expires: |
6/1/2019 |
License Type: |
Medical Doctor |
Specialty: |
Anesthesiology |
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Status: |
Inactive |
Status Class: |
Physician Emeritus |
Restricted to: |
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Registered to Dispense: |
NO |
Medical School: |
Sri Venkatesvara Med Coll, NTR Univ Hlth Sci, Tirupati, AP, India |
Graduated: |
8 /
1974 |
CME Year: |
2019 |
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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 ANESTHESIOLOGY |
New Patients: |
Contact licensee |
Medicaid: |
Contact licensee |
Medicare: |
Contact licensee |
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HMO/PPO: |
None listed |
Hospital Privileges: |
Hospital Not Listed
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Hospital(s) Not In Oklahoma
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