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GONA, PAVAN 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: 920 STANTON L YOUNG BLVD.
#WP2250
OKLAHOMA CITY OK 73104

Address last updated on 4/3/2015
Phone #: (405) 271-6842 x5107
Fax #: (405) 271-6496
County: OKLAHOMA
License: 29946
Dated: 6/3/2013
Expires: 6/1/2016
License Type: Medical Doctor
Specialty: Internal Medicine
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Osmania Med Coll, NTR Univ of Hlth Sci, Hyderabad, AP, India
Graduated: 5 / 1998
CME Year: 2016
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:
920 STANTON L YOUNG BLVD.
#WP2250
OKLAHOMA CITY OK 73104

Phone #: (405) 271-6842 x5107
Fax #: (405) 271-6496
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:

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