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Next Update: Thursday, December 19, 2024 2:50 AM CST
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NANCHERLA, PRAKASH RAO
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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: |
102 PALO ALTO RD.
SUITE 200
SAN ANTONIO TX 78211
Address last updated on 1/30/2019 |
| Phone #: |
(210) 403-0765 |
| Fax #: |
(210) 547-9270 |
| County: |
NOT OKLAHOMA |
| License: |
12104 |
| Dated: |
2/5/1979 |
| Expires: |
2/1/2023 |
| License Type: |
Medical Doctor |
| Specialty: |
Nephrology
Internal Medicine |
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| Status: |
Inactive |
| Status Class: |
Expired License |
| Restricted to: |
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| Registered to Dispense: |
NO |
| Medical School: |
Osmania Med Coll, NTR Univ of Hlth Sci, Hyderabad, AP, India |
| Graduated: |
7 /
1974 |
| CME Year: |
2025 |
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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 INTERNAL MEDICINE |
| New Patients: |
Yes |
| Medicaid: |
Yes |
| Medicare: |
Yes |
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| HMO/PPO: |
Aetna HMO
Aetna PPO
BlueChoice PPO
CommunityCare HMO, Inc
Preferred Community Choice
Prudential Health Care Plan, Inc
United Healthcare HMO
United Healthcare Options PPO |
| Hospital Privileges: |
Hospital(s) Not In Oklahoma
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