BONGU, SUDERSHAN RAO - Licensee Information

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Last Update: Thursday, September 26, 2024 6:51 PM CDT
Next Update: Friday, September 27, 2024 2:50 AM CDT

BONGU, SUDERSHAN RAO

Practice Address:	VETERANS ADMIN. MEDICAL CENTER 1901 VETERANS MEMORIAL DRIVE TEMPLE TX 76504 Address last updated on 7/23/2014
Phone #:	(254) 778-4811
Fax #:
County:	NOT OKLAHOMA
License:	12456
Dated:	9/25/1979
Expires:	9/1/2016
License Type:	Medical Doctor
Specialty:	Anesthesiology Other Specialty

Status:	Inactive
Status Class:	Expired License
Restricted to:
Registered to Dispense:	YES
Medical School:	Deccan Coll of Med Sci, NTR Univ of Hlth Sci, Hyderabad, A P, India
Graduated:	1 / 1971
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 ANESTHESIOLOGY
New Patients:	Contact licensee
Medicaid:	Contact licensee
Medicare:	Contact licensee

HMO/PPO:	None listed
Hospital Privileges:	Hospital(s) Not In Oklahoma ,

Locations:	Hours:	Languages:
VETERANS ADMIN. MEDICAL CENTER 1901 VETERANS MEMORIAL DRIVE TEMPLE TX 76504 Phone #: (254) 778-4811 Fax #:	Mon: Tue: Wed: Thu: Fri: Sat: Sun: