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Oklahoma Board of Medical Licensure and Supervision

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PALEPU, PAVAN N       
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: UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE-TULSA
4502 E 41ST STREET
TULSA OK 74135

Address last updated on 11/1/2013
Phone #: (918) 660-3505
Fax #:
County: TULSA
License: 25855
Dated: 9/2/2009
Expires: 9/1/2013
License Type: Medical Doctor
Specialty: Psychiatry
Family Medicine
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: YES
Medical School: St Matthew's Univ-Grand Cayman
Graduated: 6 / 2006
CME Year: 2015
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:
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE-TULSA
4502 E 41ST STREET
TULSA OK 74135

Phone #: (918) 660-3505
Fax #:

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