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REDDY, JAGADEESHWAR KORIPELLI       
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: FAMILY CLINIC OF MERCED
830 WEST OLIVE AVE
SUITE C
MERCED CA 95348

Address last updated on 4/2/2003
Phone #: (209) 383-3152
Fax #:
County: NOT OKLAHOMA
License: 22079
Dated: 9/27/2001
Expires: 9/1/2003
License Type: Medical Doctor
Specialty: Family Medicine
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: YES
Medical School: Osmania Med Coll, NTR Univ of Hlth Sci, Hyderabad, AP, India
Graduated: 1 / 1996
CME Year: 2004
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: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
FAMILY CLINIC OF MERCED
830 WEST OLIVE AVE
SUITE C
MERCED CA 95348

Phone #: (209) 383-3152
Fax #:

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