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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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BALASUNDARAM, PRIYANKHA       
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: 1321 W 7TH AVE STE 29
STILLWATER OK 74074

Address last updated on 8/3/2024
Phone #: (405) 743-3171
Fax #: (405) 533-3172
County: PAYNE
License: 30838
Dated: 8/26/2016
Expires: 8/1/2025
License Type: Medical Doctor
Specialty: General Practice
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: Madras Med Coll, Dr M G R Med Univ, Madras, Tn, India
Graduated: 1 / 2000
CME Year: 2025
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 FAMILY MEDICINE
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: Comanche County Memorial Hospital
Lawton, OK
Locations: Hours: Languages:
1321 W 7TH AVE STE 29
STILLWATER OK 74074

Phone #: (405) 743-3171
Fax #: (405) 533-3172
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:

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