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BHARAMANA GOUDRA, BASAVANA GOUDA       
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: HOSPITAL OF THE UNIVERSITY OF PENNSYLVANIA
3400 SPRUCE ST
CHERRY HILL NJ 08003

Address last updated on 3/28/2020
Phone #: (215) 279-4321
Fax #:
County: NOT OKLAHOMA
License: 23803
Dated: 3/1/2004
Expires: 3/1/2009
License Type: Medical Doctor
Specialty: Anesthesiology
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Bangalore Med Coll, Bangalore, Karnataka, India
Graduated: 1 / 1986
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:
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
HOSPITAL OF THE UNIVERSITY OF PENNSYLVANIA
3400 SPRUCE ST
CHERRY HILL NJ 08003

Phone #: (215) 279-4321
Fax #:
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
Hindi

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