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GODBOLE, KETAN DEEPAK       
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: TUALITY COMMUNITY HOSPITAL/OHSU PARTNER
335 SE 8TH AVE
HILLSBORO OR 97123

Address last updated on 10/23/2019
Phone #: (503) 681-1111
Fax #:
County: NOT OKLAHOMA
License: 29548
Dated: 11/1/2012
Expires: 1/30/2021
License Type: Medical Doctor
Specialty: Internal Medicine
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Gov't Med Coll, Nagpur Univ, Nagpur, Maharashtra, India
Graduated: 8 / 2005
CME Year: 2021
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:
TUALITY COMMUNITY HOSPITAL/OHSU PARTNER
335 SE 8TH AVE
HILLSBORO OR 97123

Phone #: (503) 681-1111
Fax #:
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:

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