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URAM, SHELLEY       
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: 1480 EAST BETHANY HOME ROAD
SUITE 130
PHOENIX AZ 85017
Phone #:
Fax #:
County: NOT OKLAHOMA
License: 16769
Dated: 1/12/1989
Expires: 1/1/1999
License Type: Medical Doctor
Specialty: Child and Adolescent Psychiatry
Psychiatry
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: MED COLL OF PA, PHILADELPHIA PA 19129
Graduated: 6 / 1978
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: AMERICAN BOARD OF PSYCHIATRY AND NEUROLOGY
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
1480 EAST BETHANY HOME ROAD
SUITE 130
PHOENIX AZ 85017

Phone #:
Fax #:

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