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MEHTA, KAUTILYA A.
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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: |
4345 N. LINCOLN BLVD
OKLAHOMA CITY OK 73105
Address last updated on 7/2/2014 |
Phone #: |
(405) 522-7649 |
Fax #: |
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County: |
OKLAHOMA |
License: |
12793 |
Dated: |
7/7/1980 |
Expires: |
4/4/2015 |
License Type: |
Medical Doctor |
Specialty: |
Vascular Surgery
Other Specialty |
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Status: |
Inactive |
Status Class: |
Deceased |
Restricted to: |
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Registered to Dispense: |
NO |
Medical School: |
Seth G S Med Coll, Maharashtra Univ of Hlth Sci, Maharashtra, India |
Graduated: |
8 /
1967 |
CME Year: |
2015 |
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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 SURGERY
AMERICAN BOARD OF SURGERY - Vascular Surgery - General |
New Patients: |
No |
Medicaid: |
No |
Medicare: |
No |
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HMO/PPO: |
None listed |
Hospital Privileges: |
None listed |
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