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RAVULA, SHANTAN BHARGAV REDDY       
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: COLLEGE OF MEDICINE-TULSA
4502 EAST 41ST STREET
TULSA OK 73135

Address last updated on 6/30/2011
Phone #: (918) 660-3505
Fax #:
County: TULSA
License: 27286
Dated: 7/1/2011
Expires: 7/1/2012
License Type: Medical Doctor
Specialty: Family Medicine
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: SIDDHARTHA MED COLL, BANGALORE UNIV, TUMKUR, KARNATAKA, INDIA
Graduated: 11 / 2005
CME Year: 2014
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:
COLLEGE OF MEDICINE-TULSA
4502 EAST 41ST STREET
TULSA OK 73135

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

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