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Last Update: Wednesday, December 18, 2024 6:43 PM CST
Next Update: Thursday, December 19, 2024 2:50 AM CST
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FORTES, MANUEL CORREA
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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: |
2722 MERRILEE DR
STE 230
FAIRFAX VA 22031
Address last updated on 2/20/2024 |
| Phone #: |
(703) 698-4444 |
| Fax #: |
(703) 698-2176 |
| County: |
NOT OKLAHOMA |
| License: |
29696 |
| Dated: |
4/1/2013 |
| Expires: |
4/1/2025 |
| License Type: |
Medical Doctor |
| Specialty: |
Diagnostic Radiology
Radiology
Vascular and Interventional Radiology
Endovascular Surgical Neuroradiology |
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| Status: |
Active |
| Status Class: |
Fully Licensed |
| Restricted to: |
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| Registered to Dispense: |
NO |
| Medical School: |
Esc De Med Fund Tech-Educ Souza Marques, Rio De Janeiro, Rj, Brazil |
| Graduated: |
11 /
2004 |
| 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 RADIOLOGY (Diagnostic Radiology specific) |
| New Patients: |
Yes |
| Medicaid: |
Yes |
| Medicare: |
Yes |
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| HMO/PPO: |
None listed |
| Hospital Privileges: |
INTEGRIS Baptist Medical Center
Oklahoma City, OK
INTEGRIS Canadian Valley Regional Hospital
Yukon, OK
INTEGRIS Edmond
Edmond, OK
SSM Health St. Anthony Hospital - OKC
Oklahoma City, OK
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