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MOHAN, MADAN       
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: BALTIMORE CITY HEALTH DEPT
210 GUILFORD AVENUE
BALTIMORE MD 21202

Address last updated on 8/31/2009
Phone #: (410) 396-8078
Fax #: (410) 396-0559
County: NOT OKLAHOMA
License: 15075
Dated: 9/28/1985
Expires: 9/1/2009
License Type: Medical Doctor
Specialty: General Surgery
PUBLIC HEALTH
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Stanley Med Coll, Dr M G R Med Univ, Madras, TN, India
Graduated: 10 / 1966
CME Year: 2009
Pending and/or Past Disciplinary Actions:
Date Action Reasons Remarks
9/11/1992 Probation Ended
9/11/1987 Probation
Board Filings and/or Orders:
09/11/1987
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:
BALTIMORE CITY HEALTH DEPT
210 GUILFORD AVENUE
BALTIMORE MD 21202

Phone #: (410) 396-8078
Fax #: (410) 396-0559
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:

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