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Oklahoma Board of Medical Licensure and Supervision

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MUPPIDI, MADHAVI REDDY       
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: 1101 12TH AVE NW STE 100
ARDMORE OK 73401

Address last updated on 8/11/2008
Phone #: (580) 226-4400
Fax #: (580) 226-4410
County: CARTER
License: 22554
Dated: 9/7/2001
Expires: 9/1/2010
License Type: Medical Doctor
Specialty: Physical Medicine & Rehabilitation
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Osmania Med Coll, NTR Univ of Hlth Sci, Hyderabad, AP, India
Graduated: 9 / 1991
CME Year: 2010
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 PHYSICAL MEDICINE/REHABILITATION
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: Aetna PPO
Blue Cross Blue Shield-Blue Preferred
Blue Cross Blue Shield-Blue Traditional
Blue Cross Blue Shield-Plan 65 Select
BlueChoice PPO
CIGNA PPO
First Health
HealthChoice
OSMA Health (formerly Plico PPO)
Preferred Community Choice
Railroad Medicare
SoonerCare PPO
Tricare Standard
United Healthcare Options PPO
Hospital Privileges: Mercy Memorial Health Center, Inc. - Ardmore
Ardmore, OK
Locations: Hours: Languages:
1101 12TH AVE NW STE 100
ARDMORE OK 73401

Phone #: (580) 226-4400
Fax #: (580) 226-4410
Mon: 8:00AM - 5:00PM
Tue: 8:00AM - 5:00PM
Wed: 8:00AM - 5:00PM
Thu: 8:00AM - 5:00PM
Fri: 8:00AM - 5:00PM
Hindi

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