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NIDHIRY, EMMANUEL ABRAHAM       
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: COMMONWEALTH CANCER CENTER
169 J.T. PETTY DRIVE
RUSSELL SPRINGS KY 42642

Address last updated on 4/28/2009
Phone #: (301) 300-2204
Fax #:
County: NOT OKLAHOMA
License: 25516
Dated: 6/7/2007
Expires: 6/1/2010
License Type: Medical Doctor
Specialty: HEMATOLOGY/ONCOLOGY
Internal Medicine
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Kottayam Med Coll, Mahatma Gandhi Univ, Kottayam, Kerala, India
Graduated: 4 / 1998
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 INTERNAL MEDICINE
AMERICAN BOARD OF INTERNAL MEDICINE - Hematology
AMERICAN BOARD OF INTERNAL MEDICINE - Medical Oncology
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
COMMONWEALTH CANCER CENTER
169 J.T. PETTY DRIVE
RUSSELL SPRINGS KY 42642

Phone #: (301) 300-2204
Fax #:
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10109 E. 79th Street
Tulsa, OK 74133

Phone #: (918) 286-5000 x5756
Fax #:
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