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MODI, JIGNESH M       
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: OU HEALTH SCIENCE CENTER
RADIOLOGICAL SCIENCES
940 NE 13TH ST 4G4250
OKLAHOMA CITY OK 73104

Address last updated on 10/15/2013
Phone #: (405) 271-5125
Fax #: (405) 271-3462
County: OKLAHOMA
License: 25455
Dated: 11/1/2007
Expires: 11/1/2013
License Type: Medical Doctor
Specialty: Diagnostic Radiology
Neurology/Diagnostic Radiology/Neuroradiology
Vascular and Interventional Radiology
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: N H L Municipal Med Coll, Gujarat Univ, Ahmedabad, Gujarat, India
Graduated: 3 / 2001
CME Year: 2013
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 (Diagnostic Radiology specific)
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: OU Health Medical Center
Oklahoma City, OK
V.A. Medical Center-OKC
Oklahoma City, OK
Locations: Hours: Languages:
OU HEALTH SCIENCE CENTER
RADIOLOGICAL SCIENCES
940 NE 13TH ST 4G4250
OKLAHOMA CITY OK 73104

Phone #: (405) 271-5125
Fax #: (405) 271-3462
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:

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