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Next Update: Friday, September 27, 2024 2:50 AM CDT
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VARANASI, BALAVITTAL
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Practice Address: |
936 MLK BLVD
P.O.BOX 1265
CENTRALIA IL 62801-9119
Address last updated on 9/3/2011 |
Phone #: |
(618) 532-6439 |
Fax #: |
(618) 532-1549 |
County: |
NOT OKLAHOMA |
License: |
18683 |
Dated: |
9/30/1993 |
Expires: |
9/1/2011 |
License Type: |
Medical Doctor |
Specialty: |
Family Medicine
Other Specialty |
|
Status: |
Inactive |
Status Class: |
Physician Emeritus |
Restricted to: |
|
Registered to Dispense: |
NO |
Medical School: |
Osmania Med Coll, NTR Univ of Hlth Sci, Hyderabad, AP, India |
Graduated: |
8 /
1979 |
CME Year: |
2012 |
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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 FAMILY MEDICINE |
New Patients: |
No |
Medicaid: |
No |
Medicare: |
No |
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HMO/PPO: |
Aetna HMO
Aetna PPO
United Healthcare Options PPO |
Hospital Privileges: |
Hospital Not Listed
,
Hospital(s) Not In Oklahoma
,
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