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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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TRAN, DERRICK THAI BAO       
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: PEDES ORANGE COUNTY
1400 REYNOLDS AVE
SUITE 110
IRVINE CA 92614

Address last updated on 11/11/2024
Phone #: (405) 402-9276
Fax #:
County: NOT OKLAHOMA
License: 33110
Dated: 7/1/2019
Expires: 7/1/2024
License Type: Medical Doctor
Specialty: Vascular and Interventional Radiology
Radiology
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: YES
Medical School: St George's Univ, Sch Of Med, St George's, Grenada
Graduated: 4 / 2017
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 RADIOLOGY
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: Hospital(s) Not In Oklahoma
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Locations: Hours: Languages:
PEDES ORANGE COUNTY
1400 REYNOLDS AVE
SUITE 110
IRVINE CA 92614

Phone #: (405) 402-9276
Fax #:
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:

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