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SRIMUSHNAM, MAYA IRENE       
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: UNIVERSITY OF OKLAHOMA SOM TULSA
1919 S WHEELING AVE. SUITE 600
TULSA OK 74104

Address last updated on 6/1/2017
Phone #: (918) 634-7500
Fax #:
County: TULSA
License: 29151
Dated: 7/1/2013
Expires: 7/1/2018
License Type: Medical Doctor
Specialty: General Surgery
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of Tx Med Branch Galveston, Galveston Tx 77550
Graduated: 6 / 2012
CME Year: 2019
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:
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
UNIVERSITY OF OKLAHOMA SOM TULSA
1919 S WHEELING AVE. SUITE 600
TULSA OK 74104

Phone #: (918) 634-7500
Fax #:
Mon:
Tue:
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