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SHANKER, AMIT JAY
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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: |
3433 NW 56TH ST. SUITE 400
OKLAHOMA CITY OK 73112
Address last updated on 5/3/2007 |
| Phone #: |
(405) 947-3341 |
| Fax #: |
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| County: |
OKLAHOMA |
| License: |
25073 |
| Dated: |
7/10/2006 |
| Expires: |
7/1/2008 |
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Temp.
Lic.
Issued:
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6/30/2006 |
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Temp.
Lic.
Expires:
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9/23/2006 |
| License Type: |
Medical Doctor |
| Specialty: |
Cardiovascular Disease
Other Specialty |
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| Status: |
Inactive |
| Status Class: |
Expired License |
| Restricted to: |
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| Registered to Dispense: |
YES |
| Medical School: |
JEFFERSON MED COLL-THOS JEFFERSON UNIV, PHILADELPHIA PA 19107 |
| Graduated: |
6 /
1997 |
| CME Year: |
2009 |
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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 INTERNAL MEDICINE |
| New Patients: |
Yes |
| Medicaid: |
Yes |
| Medicare: |
Yes |
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| HMO/PPO: |
None listed |
| Hospital Privileges: |
INTEGRIS Baptist Medical Center
Oklahoma City, OK
INTEGRIS Baptist Portland Ave (fmly Deaconess Hospital)
Oklahoma City, OK
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