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Last Update: Thursday, December 19, 2024 3:44 AM CST
Next Update: Thursday, December 19, 2024 12:00 PM CST
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PRABHU, VIJAY NIRMAL
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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: |
2017 W I-35 FRONTAGE ROAD
EDMOND OK 73031
Address last updated on 1/2/2024 |
| Phone #: |
(405) 340-4937 |
| Fax #: |
(405) 341-3078 |
| County: |
OKLAHOMA |
| License: |
18818 |
| Dated: |
3/18/1994 |
| Expires: |
3/1/2025 |
| License Type: |
Medical Doctor |
| Specialty: |
Gastroenterology
Internal Medicine |
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| Status: |
Active |
| Status Class: |
Fully Licensed |
| Restricted to: |
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| Registered to Dispense: |
NO |
| Medical School: |
St. John'S Med Coll, Bangalore Univ, Bangalore, Karnataka, India |
| Graduated: |
5 /
1985 |
| CME Year: |
2025 |
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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 - Gastroenterology |
| New Patients: |
Contact licensee |
| Medicaid: |
Contact licensee |
| Medicare: |
Contact licensee |
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| HMO/PPO: |
None listed |
| Hospital Privileges: |
Mercy Hospital OKC
Oklahoma City, OK
OU Health - Edmond (frmrly Edmond Medical Center)
Edmond, OK
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