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Next Update: Thursday, December 19, 2024 12:00 PM CST
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MOHAN, SOWMYA SURYADEVARA
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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.
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| Practice Address: |
2015 UPPERGATE DRIVE
3RD FLOOR
SUITE 316D
ATLANTA GA 30322
Address last updated on 5/1/2014 |
| Phone #: |
(404) 727-9023 |
| Fax #: |
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| County: |
NOT OKLAHOMA |
| License: |
23084 |
| Dated: |
5/19/2005 |
| Expires: |
5/1/2015 |
| License Type: |
Medical Doctor |
| Specialty: |
MEDICINE/PEDIATRICS
Neonatal-Perinatal Medicine |
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| Status: |
Inactive |
| Status Class: |
Expired License |
| Restricted to: |
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| Registered to Dispense: |
NO |
| Medical School: |
St Christopher's Coll of Med, Senegal |
| Graduated: |
6 /
2002 |
| CME Year: |
2017 |
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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 PEDIATRICS |
| 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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