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AMRUD, DIARAM
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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: |
Not Currently Practicing
VINITA OK 74301
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Phone #: |
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Fax #: |
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County: |
CRAIG |
License: |
21611 |
Dated: |
10/5/1979 |
Expires: |
9/28/1985 |
License Type: |
Medical Doctor |
Specialty: |
General Practice
Psychiatry |
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Status: |
Inactive |
Status Class: |
Disciplinary Action |
Restricted to: |
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Registered to Dispense: |
NO |
Medical School: |
DOMINICAN REPUBLIC MEDICAL SCHOOLS |
Graduated: |
12 /
1978 |
CME Year: |
2000 |
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Pending and/or Past Disciplinary Actions:
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Date |
Action |
Reasons |
Remarks |
9/28/1985 |
Revoked License |
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Board Filings and/or Orders:
09/28/1985
04/02/1985
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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: |
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New Patients: |
Contact licensee |
Medicaid: |
Contact licensee |
Medicare: |
Contact licensee |
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HMO/PPO: |
None listed |
Hospital Privileges: |
None listed |
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