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PILIKA, ASTI       
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: DIRECT RADIOLOGY
1839 N GOVERNMENT WAY
STE B
COEUR DALENE ID 83814

Address last updated on 4/12/2018
Phone #: (855) 687-7237
Fax #:
County: NOT OKLAHOMA
License: 28354
Dated: 5/9/2011
Expires: 5/1/2019
License Type: Medical Doctor
Specialty: Diagnostic Radiology
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Albany Med Coll, Albany NY 12208
Graduated: 5 / 2004
CME Year: 2020
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 RADIOLOGY
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: Hospital(s) Not In Oklahoma
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Locations: Hours: Languages:
DIRECT RADIOLOGY
1839 N GOVERNMENT WAY
STE B
COEUR DALENE ID 83814

Phone #: (855) 687-7237
Fax #:
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:

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