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Next Update: Thursday, December 19, 2024 12:00 PM CST
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KOTHALANKA, JANIKAMMA
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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: |
107 NE 19TH DRIVE
OKEECHOBEE FL 44370
Address last updated on 12/28/2013 |
| Phone #: |
(575) 461-6084 |
| Fax #: |
(575) 461-1660 |
| County: |
NOT OKLAHOMA |
| License: |
28196 |
| Dated: |
1/13/2011 |
| Expires: |
1/1/2015 |
| License Type: |
Medical Doctor |
| Specialty: |
Internal Medicine |
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| Status: |
Inactive |
| Status Class: |
Expired License |
| Restricted to: |
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| Registered to Dispense: |
NO |
| Medical School: |
Univ C.E.T.E.C., Sch Of Med, Santo Domingo, Dom Rep (Closed 1984) |
| Graduated: |
12 /
1982 |
| CME Year: |
2017 |
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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: |
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| New Patients: |
Contact licensee |
| Medicaid: |
Contact licensee |
| Medicare: |
Contact licensee |
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| HMO/PPO: |
None listed |
| Hospital Privileges: |
None listed |
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| Locations: |
Hours: |
Languages: |
107 NE 19TH DRIVE
OKEECHOBEE FL 44370
Phone #:
(575) 461-6084
Fax #:
(575) 461-1660 |
Mon: 8:00AM - 0:00PM
Tue:
Wed: 8:00AM - 0:00PM
Thu:
Fri:
Sat:
Sun: 8:00AM - 0:00PM |
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