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SHUKLA, MANAN S       
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: BAYSHORE MEDICAL CENTER
4000 SPENCER HIGHWAY
PASEDENA TX 77504

Address last updated on 6/26/2013
Phone #: (612) 306-1509
Fax #:
County: NOT OKLAHOMA
License: 28241
Dated: 2/1/2011
Expires: 2/1/2014
License Type: Medical Doctor
Specialty: Internal Medicine
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: N H L Municipal Med Coll, Gujarat Univ, Ahmedabad, Gujarat, India
Graduated: 5 / 1980
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: AMERICAN BOARD OF INTERNAL MEDICINE
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
BAYSHORE MEDICAL CENTER
4000 SPENCER HIGHWAY
PASEDENA TX 77504

Phone #: (612) 306-1509
Fax #:
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun: HOSPITALIST

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