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MADAMANGALAM, ABHINAVA SRINIVASA SESHACHAR       
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: AUGUSTA UNIVERSITY
1120 15T STREET BI-2144
AUGUSTA GA 30912

Address last updated on 6/30/2017
Phone #: (706) 721-8828
Fax #: (706) 721-7753
County: NOT OKLAHOMA
License: 21679
Dated: 7/10/2000
Expires: 7/1/2018
License Type: Medical Doctor
Specialty: Anesthesiology
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: YES
Medical School: J.J.M Med Coll, Rajiv Gandhi Univ Hlth Sci, Davangere, Karnataka
Graduated: 3 / 1985
CME Year: 2018
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: AMERICAN BOARD OF ANESTHESIOLOGY
New Patients: No
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: Hospital(s) Not In Oklahoma
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Locations: Hours: Languages:
AUGUSTA UNIVERSITY
1120 15T STREET BI-2144
AUGUSTA GA 30912

Phone #: (706) 721-8828
Fax #: (706) 721-7753
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