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DHALIWAL, SHAWNDEEP       
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: 3400 S DOUGLAS BLVD.
SUITE 200
OKLAHOMA CITY OK 73150

Address last updated on 12/15/2019
Phone #: (405) 272-2850
Fax #: (405) 272-2898
County: OKLAHOMA
License: 33247
Dated: 9/8/2017
Expires: 1/30/2021
License Type: Medical Doctor
Specialty: General Practice
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Ross Univ, Sch of Med, Roseau, Dominica
Graduated: 3 / 2011
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 FAMILY MEDICINE
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: SSM Health St. Anthony Hospital - OKC
Oklahoma City, OK
Locations: Hours: Languages:
3400 S DOUGLAS BLVD.
SUITE 200
OKLAHOMA CITY OK 73150

Phone #: (405) 272-2850
Fax #: (405) 272-2898
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:

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