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Next Update: Friday, September 27, 2024 2:50 AM CDT
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PUNUKOLLU, PAVAN KUMAR
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| Practice Address: |
ASSOCIATED RADIOLOGISTS
MESA AZ 85202
Address last updated on 9/13/2001 |
| Phone #: |
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| Fax #: |
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| County: |
NOT OKLAHOMA |
| License: |
21671 |
| Dated: |
8/30/2000 |
| Expires: |
8/1/2002 |
|
Temp.
Lic.
Issued:
|
7/7/2000 |
|
Temp.
Lic.
Expires:
|
8/30/2000 |
| License Type: |
Medical Doctor |
| Specialty: |
Diagnostic Radiology |
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| Status: |
Inactive |
| Status Class: |
Expired License |
| Restricted to: |
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| Registered to Dispense: |
YES |
| Medical School: |
Tufts Univ Sch Of Med, Boston Ma 02111 |
| Graduated: |
5 /
1992 |
| CME Year: |
2003 |
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Pending and/or Past Disciplinary Actions:
No Disciplinary Action Taken.
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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: |
AMERICAN BOARD OF RADIOLOGY |
| 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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