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AMRUD, DIARAM       
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: Not Currently Practicing
VINITA OK 74301
Phone #:
Fax #:
County: CRAIG
License: 21611
Dated: 10/5/1979
Expires: 9/28/1985
License Type: Medical Doctor
Specialty: General Practice
Psychiatry
Status: Inactive
Status Class: Disciplinary Action
Restricted to:
Registered to Dispense: NO
Medical School: DOMINICAN REPUBLIC MEDICAL SCHOOLS
Graduated: 12 / 1978
CME Year: 2000
Pending and/or Past Disciplinary Actions:
Date Action Reasons Remarks
9/28/1985 Revoked License
Board Filings and/or Orders:
09/28/1985
04/02/1985
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:
Not Currently Practicing
VINITA OK 74301

Phone #:
Fax #:

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