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PATEL, PUSHPA SURENDRA       
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: DEPAUL HEALTH CENTER
12303 DEPAUL DR.
ST. LOUIS MO 63044

Address last updated on 6/5/2016
Phone #: (314) 344-6000
Fax #:
County: NOT OKLAHOMA
License: 12353
Dated: 7/10/1979
Expires: 7/1/2017
License Type: Medical Doctor
Specialty: Pediatrics
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: N H L Municipal Med Coll, Gujarat Univ, Ahmedabad, Gujarat, India
Graduated: 3 / 1977
CME Year: 2018
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: AMERICAN BOARD OF PEDIATRICS
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
DEPAUL HEALTH CENTER
12303 DEPAUL DR.
ST. LOUIS MO 63044

Phone #: (314) 344-6000
Fax #:
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
Hindi

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