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Last Update: Friday, November 22, 2024 6:42 PM CST
Next Update: Saturday, November 23, 2024 2:50 AM CST

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KOLLI, VIJAY KUMAR       
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: CRESCENT INFECTIOUS DISEASES
1111 N LEE AVE
SUITE 249
OKLAHOMA CITY OK 73103

Address last updated on 4/4/2024
Phone #: (405) 594-5848
Fax #: (405) 594-5847
County: OKLAHOMA
License: 28955
Dated: 5/7/2012
Expires: 5/1/2025
License Type: Medical Doctor
Specialty: Internal Medicine
Infectious Disease
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: YES
Medical School: Osmania Med Coll, NTR Univ of Hlth Sci, Hyderabad, AP, India
Graduated: 5 / 1998
CME Year: 2027
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: Hospital Not Listed
,
Norman Regional Healthplex
Norman, OK
Norman Regional Hospital
Norman, OK
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
Select Specialty Hospital/OKC-East
Oklahoma City, OK
SSM Health Bone and Joint Hospital at St. Anthony
Oklahoma City, OK
SSM Health St. Anthony Hospital - OKC
Oklahoma City, OK
Locations: Hours: Languages:
CRESCENT INFECTIOUS DISEASES
1111 N LEE AVE
SUITE 249
OKLAHOMA CITY OK 73103

Phone #: (405) 594-5848
Fax #: (405) 594-5847
Mon:
Tue:
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Thu:
Fri:
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Sun:
1000 N Lee Ave
Oklahoma City, OK 73012

Phone #: (405) 272-7000
Fax #: (10) 201-
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Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
STEPHEN ROY FRAZEE PA 2935
JORDAN ELISABETH SHUART PA 2853
TAYLOR LANE WINZELER PA 2215

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