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GUPTA, MANISH       
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: 777 WALTER REED BLVD #201
GARLAND TX 75042

Address last updated on 8/26/2002
Phone #: (972) 272-3417
Fax #:
County: NOT OKLAHOMA
License: 20918
Dated: 10/2/1998
Expires: 10/1/2004
Training Issued: 7/1/1996
Training Expires: 7/1/1999
License Type: Medical Doctor
Specialty: HEMATOLOGY/ONCOLOGY
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: YES
Medical School: American Univ Of The Caribbean, Sch Of Med, St Maarten, Netherlands Antille
Graduated: 10 / 1995
CME Year: 2004
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:
777 WALTER REED BLVD #201
GARLAND TX 75042

Phone #: (972) 272-3417
Fax #:

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