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Last Update: Sunday, December 22, 2024 6:44 PM CST
Next Update: Monday, December 23, 2024 2:50 AM CST
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MIRANDA, MARY ANN VENITA
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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: |
No Current Practice Address
Address last updated on 9/29/2023 |
| Phone #: |
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| Fax #: |
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| County: |
NOT OKLAHOMA |
| License: |
25323 |
| Dated: |
10/19/2006 |
| Expires: |
10/1/2025 |
| License Type: |
Medical Doctor |
| Specialty: |
Internal Medicine
Allergy & Immunology |
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| Status: |
Active |
| Status Class: |
Fully Licensed |
| Restricted to: |
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| Registered to Dispense: |
NO |
| Medical School: |
Med Coll, Univ Of Kerala, Trivandrum, Kerala, India |
| Graduated: |
6 /
1997 |
| CME Year: |
2027 |
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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 ALLERGY AND IMMUNOLOGY
AMERICAN BOARD OF INTERNAL MEDICINE |
| New Patients: |
Contact licensee |
| Medicaid: |
Contact licensee |
| Medicare: |
Contact licensee |
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| HMO/PPO: |
None listed |
| Hospital Privileges: |
Mercy Hospital OKC
Oklahoma City, OK
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| Locations: |
Hours: |
Languages: |
No Current Practice Address
Phone #:
Fax #:
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