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NUKALA, CHANDRA MOULI       
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 74135

Address last updated on 5/24/2016
Phone #: (918) 660-3505
Fax #:
County: TULSA
License: 27289
Dated: 7/1/2011
Expires: 7/1/2017
License Type: Medical Doctor
Specialty: Family Medicine
Geriatric Medicine (Family Practice)
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Osmania Med Coll, NTR Univ of Hlth Sci, Hyderabad, AP, India
Graduated: 1 / 2007
CME Year: 2017
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 FAMILY MEDICINE
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 74135

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

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