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Last Update: Friday, November 22, 2024 3:47 AM CST
Next Update: Friday, November 22, 2024 12:00 PM CST

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DEHADRAI, GAUTAM       
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: 901 N PORTER
DEPARTMENT OF RADIOLOGY
NORMAN REGIONAL HOSPITAL
NORMAN OK 73071-3717

Address last updated on 6/6/2024
Phone #: (405) 307-1600
Fax #: (405) 307-1604
County: CLEVELAND
License: 25152
Dated: 8/3/2006
Expires: 8/1/2025
License Type: Medical Doctor
Specialty: Diagnostic Radiology
Vascular and Interventional Radiology
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: Armed Forces Med Coll, Univ Of Pune, Pune, Maharashtra, India
Graduated: 12 / 1989
CME Year: 2027
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 RADIOLOGY - Vascular & Interventional Radiology
AMERICAN BOARD OF RADIOLOGY (Diagnostic Radiology specific)
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: Norman Regional Hospital
Norman, OK
Locations: Hours: Languages:
901 N PORTER
DEPARTMENT OF RADIOLOGY
NORMAN REGIONAL HOSPITAL
NORMAN OK 73071-3717

Phone #: (405) 307-1600
Fax #: (405) 307-1604
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
HANNAH ELIZABETH ELLIOTT PA 4837
NATHAN BOYD WHITE PA 2422

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