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Next Update: Thursday, December 19, 2024 12:00 PM CST
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PONNAIYA, PAUL RAVINDER
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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: |
7391 WEST CHARLESTON BLVD
SUIIE 140
LAS VEGAS NV 89117
Address last updated on 2/8/2013 |
| Phone #: |
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| Fax #: |
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| County: |
NOT OKLAHOMA |
| License: |
17522 |
| Dated: |
10/26/1990 |
| Expires: |
10/1/2008 |
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Training
Issued:
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7/13/1989 |
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Training
Expires:
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10/31/1990 |
| License Type: |
Medical Doctor |
| Specialty: |
Internal Medicine |
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| Status: |
Inactive |
| Status Class: |
Expired License |
| Restricted to: |
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| Registered to Dispense: |
NO |
| Medical School: |
Deccan Coll of Med Sci, NTR Univ of Hlth Sci, Hyderabad, A P, India |
| Graduated: |
2 /
1979 |
| CME Year: |
2009 |
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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 INTERNAL MEDICINE |
| New Patients: |
Yes |
| Medicaid: |
Yes |
| Medicare: |
Yes |
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| HMO/PPO: |
Aetna PPO
BlueChoice PPO |
| Hospital Privileges: |
None listed |
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