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Oklahoma Board of Medical Licensure and Supervision

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MULAKKAN, THOMAS DAVID       
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: NORTH SHORE UNIV HOSPITAL
300 COMMUNITY DR
MANHASSET NY 11030
Phone #:
Fax #:
County: NOT OKLAHOMA
License: 15009
Dated: 11/3/1984
Expires: 6/30/1991
License Type: Medical Doctor
Specialty: Internal Medicine
Neurology
Status: Inactive
Status Class: Deceased
Restricted to:
Registered to Dispense: NO
Medical School: INDIA MEDICAL SCHOOLS
Graduated: 1 / 1969
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: No
Medicaid: No
Medicare: No
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
NORTH SHORE UNIV HOSPITAL
300 COMMUNITY DR
MANHASSET NY 11030

Phone #:
Fax #:

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