Search Results
Last Update: Thursday, September 26, 2024 6:51 PM CDT
Next Update: Friday, September 27, 2024 2:50 AM CDT
Return to Search Licensees page
BANAVALI, ASHTAMI VISHWANATH
|
Practice Address: |
430 N. MONTE VISTA ST
ADA OK 74820
Address last updated on 9/9/2024 |
Phone #: |
|
Fax #: |
|
County: |
PONTOTOC |
License: |
32636 |
Dated: |
11/22/2016 |
Expires: |
11/1/2025 |
License Type: |
Medical Doctor |
Specialty: |
HEMATOLOGY/ONCOLOGY
Internal Medicine |
|
Status: |
Active |
Status Class: |
Fully Licensed |
Restricted to: |
|
Registered to Dispense: |
YES |
Medical School: |
Topiwala Nat'L Med Coll, Univ Of Mumbai, Mumbai, Maharashtra, India |
Graduated: |
3 /
2010 |
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 INTERNAL MEDICINE
AMERICAN BOARD OF INTERNAL MEDICINE - Hematology
AMERICAN BOARD OF INTERNAL MEDICINE - Oncology |
New Patients: |
Contact licensee |
Medicaid: |
Contact licensee |
Medicare: |
Contact licensee |
|
|
HMO/PPO: |
None listed |
Hospital Privileges: |
None listed |
|
|
Primary Supervisees(s):
|
Name: |
Type: |
License Number: |
Full/Part Time: |
KELLY SPYCHALSKI
|
APRN |
14685 |
|
|
Return to Search Licensees page