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Oklahoma Board of Medical Licensure and Supervision

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GORADIA, VIPOOL KIRIT       
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: DEPT OF ORTHOPEDIC SURGERY
920 S L YOUNG BLVD #WP-1380
OKLAHOMA CITY OK 73104
Phone #:
Fax #:
County: OKLAHOMA
License: 19010
Dated: 7/1/1994
Expires: 7/1/1998
License Type: Medical Doctor
Specialty: Orthopedic Surgery
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: YES
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduated: 6 / 1993
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:
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
DEPT OF ORTHOPEDIC SURGERY
920 S L YOUNG BLVD #WP-1380
OKLAHOMA CITY OK 73104

Phone #:
Fax #:

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