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BHUPATHIRAJU, RAJESWARA RAJU
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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: |
MABEL BASSETT CORRECTIONAL CENTER
29501 KICKAPOO ROAD
MCLOUD OK 74851
Address last updated on 9/14/2021 |
Phone #: |
(405) 964-3020 |
Fax #: |
(405) 964-3020 |
County: |
POTTAWATOMIE |
License: |
18736 |
Dated: |
11/20/1993 |
Expires: |
11/1/2025 |
Training
Issued:
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9/3/1992 |
Training
Expires:
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12/30/1993 |
License Type: |
Medical Doctor |
Specialty: |
Psychiatry |
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Status: |
Active |
Status Class: |
Fully Licensed |
Restricted to: |
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Registered to Dispense: |
NO |
Medical School: |
Andhra Med Coll, NTR Univ of Med Sci, Visakhapatnam, AP, India |
Graduated: |
7 /
1979 |
CME Year: |
2027 |
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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: |
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New Patients: |
Yes |
Medicaid: |
Yes |
Medicare: |
Yes |
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HMO/PPO: |
Aetna PPO
BlueChoice PPO
CIGNA PPO
HealthChoice
PacifiCare of Oklahoma, Inc |
Hospital Privileges: |
None listed |
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