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BONGU, SUDERSHAN RAO       
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: 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
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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:

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