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Next Update: Monday, December 23, 2024 12:00 PM CST
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SHRIVASTAVA, RAKESH
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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.
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Practice Address: |
105 SOUTH BRYANT AVE
SUITE-101
EDMOND OK 73034
Address last updated on 6/15/2024 |
Phone #: |
(405) 622-3063 |
Fax #: |
(855) 680-8890 |
County: |
OKLAHOMA |
License: |
27981 |
Dated: |
7/19/2010 |
Expires: |
7/1/2025 |
License Type: |
Medical Doctor |
Specialty: |
Internal Medicine
Interventional Cardiology
Cardiovascular Disease |
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Status: |
Active |
Status Class: |
Fully Licensed |
Restricted to: |
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Registered to Dispense: |
NO |
Medical School: |
Inst Of Med Sci, Banaras Hindu Univ, Varanasi, UP, India |
Graduated: |
6 /
1997 |
CME Year: |
2025 |
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Pending and/or Past Disciplinary Actions:
No Disciplinary Action Taken.
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All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
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Certifications: |
AMERICAN BOARD OF INTERNAL MEDICINE - Cardiovascular Disease
AMERICAN BOARD OF INTERNAL MEDICINE - Interventional Cardiology |
New Patients: |
Yes |
Medicaid: |
Yes |
Medicare: |
Yes |
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HMO/PPO: |
None listed |
Hospital Privileges: |
INTEGRIS Baptist Medical Center
Oklahoma City, OK
INTEGRIS Edmond
Edmond, OK
OU Health - Edmond (frmrly Edmond Medical Center)
Edmond, OK
SSM Health St. Anthony Hospital - OKC
Oklahoma City, OK
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