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RAIKAR, SUKANTI SUDHIR       
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: DEACONESS MED CENTER
310 ST CLAIR SQ
FAIRVIEW HEIGHTS IL 62208

Address last updated on 7/22/2002
Phone #:
Fax #:
County: NOT OKLAHOMA
License: 13354
Dated: 9/15/1981
Expires: 6/30/1989
License Type: Medical Doctor
Specialty: Internal Medicine
General Surgery
Pediatrics
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Goa Med Coll, Goa Univ, Panaji, Goa, India
Graduated: 12 / 1970
CME Year:
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:
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
DEACONESS MED CENTER
310 ST CLAIR SQ
FAIRVIEW HEIGHTS IL 62208

Phone #:
Fax #:

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