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Last Update: Wednesday, December 18, 2024 6:43 PM CST
Next Update: Thursday, December 19, 2024 2:50 AM CST

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MALL, GAGAN DEEP       
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: NAPA STATE HOSPITAL
2100 NAPA VALLEJO HWY
NAPA CA 94558

Address last updated on 12/17/2023
Phone #:
Fax #:
County: NOT OKLAHOMA
License: 22370
Dated: 12/1/2003
Expires: 12/1/2024
License Type: Medical Doctor
Specialty: Psychiatry
Geriatric Psychiatry
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Gov't Med Coll, Baba Farid Univ Hlth Sci, Patiala, Punjab, India
Graduated: 6 / 1995
CME Year: 2024
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 PSYCHIATRY AND NEUROLOGY
AMERICAN BOARD OF PSYCHIATRY AND NEUROLOGY - Geriatric Psychiatry
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
NAPA STATE HOSPITAL
2100 NAPA VALLEJO HWY
NAPA CA 94558

Phone #:
Fax #:
Mon:
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Sonoma Valley Community Health Center
19270 Sonoma Highway
Sonoma, CA 95476

Phone #: (707) 939-6070 x117
Fax #: (11) 201-
Mon:
Tue:
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Fri: 8:30AM - 6:00PM
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Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
JULIE RENEE' GAYANICH PA 1149

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