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MITTAL, ROOPALI       
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: 1200 CHILDRENS AVENUE
OKLAHOMA CITY OK 73104-4637

Address last updated on 3/21/2018
Phone #: (405) 271-6549
Fax #:
County: OKLAHOMA
License: 30454
Dated: 4/1/2014
Expires: 4/1/2019
License Type: Medical Doctor
Specialty: Pediatrics
Gastroenterology
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: YES
Medical School: Inst Of Med Sci, Banaras Hindu Univ, Varanasi, UP, India
Graduated: 12 / 2004
CME Year: 2020
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 PEDIATRICS
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
1200 CHILDRENS AVENUE
OKLAHOMA CITY OK 73104-4637

Phone #: (405) 271-6549
Fax #:
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:

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