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PETHE, KALPANA       
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: OUHSC GENERAL PEDIATRICS
DEPT OF PEDIATRICS
940 NE 13TH RM 1B1306
OKLAHOMA CITY OK 73104

Address last updated on 6/26/2008
Phone #: (405) 271-4407
Fax #:
County: OKLAHOMA
License: 24015
Dated: 8/18/2004
Expires: 8/1/2009
License Type: Medical Doctor
Specialty: Pediatrics
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: YES
Medical School: Jawaharlal Nehru Med Coll, Univ Rajasthan, Ajmer, Rajasthan, India
Graduated: 9 / 1989
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 PEDIATRICS
New Patients: Yes
Medicaid: Yes
Medicare: No
   
HMO/PPO: None listed
Hospital Privileges: OU Health Medical Center
Oklahoma City, OK
Locations: Hours: Languages:
OUHSC GENERAL PEDIATRICS
DEPT OF PEDIATRICS
940 NE 13TH RM 1B1306
OKLAHOMA CITY OK 73104

Phone #: (405) 271-4407
Fax #:
Mon:
Tue:
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