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KANDULA, MADAN NARAYANA       
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: 2500 N MAYFAIR ROAD
SUITE 450
MILWAUKEE WI 53226
Phone #: (414) 475-9300
Fax #: (405) 271-3248
County: NOT OKLAHOMA
License: 21309
Dated: 8/20/1999
Expires: 8/1/2003
License Type: Medical Doctor
Specialty: Otolaryngology
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Hahnemann Univ Sch Of Med, Philadelphia Pa 19102
Graduated: 5 / 1998
CME Year: 2005
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: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: Aetna HMO
Aetna PPO
BlueChoice PPO
BlueLincs HMO
HealthChoice
Preferred Community Choice
Prudential Health Care Plan, Inc
United Healthcare HMO
United Healthcare Options PPO
Hospital Privileges: Hospital(s) Not In Oklahoma
,
Locations: Hours: Languages:
2500 N MAYFAIR ROAD
SUITE 450
MILWAUKEE WI 53226

Phone #: (414) 475-9300
Fax #: (405) 271-3248
Mon: 8:00AM - 5:00PM
Tue: 8:00AM - 5:00PM
Wed: 8:00AM - 5:00PM
Thu: 8:00AM - 5:00PM
Fri: 8:00AM - 5:00PM

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