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Next Update: Thursday, December 19, 2024 12:00 PM CST
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POLUDASU, SHYAM SUNDER
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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: |
1301 WEST 6TH
SUITE 207
STILLWATER OK 74074
Address last updated on 8/12/2023 |
| Phone #: |
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| Fax #: |
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| County: |
PAYNE |
| License: |
28749 |
| Dated: |
10/11/2011 |
| Expires: |
10/1/2025 |
| License Type: |
Medical Doctor |
| Specialty: |
Cardiovascular Disease
Interventional Cardiology |
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| Status: |
Active |
| Status Class: |
Fully Licensed |
| Restricted to: |
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| Registered to Dispense: |
NO |
| Medical School: |
Osmania Med Coll, NTR Univ of Hlth Sci, Hyderabad, AP, India |
| Graduated: |
6 /
2000 |
| CME Year: |
2026 |
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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
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: |
Oklahoma Heart Hospital - North Campus (4050 W. Memorial Rd)
Oklahoma City, OK
Oklahoma Heart Hospital - South Campus (5200 I-240 Service Rd)
Oklahoma City, OK
OU Health Medical Center
Oklahoma City, OK
Stillwater Medical Center
Stillwater, OK
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