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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Monday, December 23, 2024 3:49 AM CST
Next Update: Monday, December 23, 2024 12:00 PM CST

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RAVAL, BHRUGAV GAUTAM       
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: 825 NE 10TH STREET
SUITE 5B
OKLAHOMA CITY OK 73104

Address last updated on 3/10/2024
Phone #: (405) 271-3635
Fax #: (405) 271-2523
County: OKLAHOMA
License: 33364
Dated: 5/8/2018
Expires: 5/1/2025
License Type: Medical Doctor
Specialty: Neurology
Clinical Neurophysiology
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: SSR Med Coll, Univ of Mauritius, Belle Rive, Mauritius
Graduated: 11 / 2008
CME Year: 2027
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 PSYCHIATRY AND NEUROLOGY - Clinical Neurophysiology
AMERICAN BOARD OF PSYCHIATRY AND NEUROLOGY - Epilepsy
AMERICAN BOARD OF PSYCHIATRY AND NEUROLOGY (Neurology specific)
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: None listed
Hospital Privileges: OU Health Medical Center
Oklahoma City, OK
Locations: Hours: Languages:
825 NE 10TH STREET
SUITE 5B
OKLAHOMA CITY OK 73104

Phone #: (405) 271-3635
Fax #: (405) 271-2523
Mon: 8:00AM - 5:00PM
Tue: 8:00AM - 5:00PM
Wed: 8:00AM - 5:00PM
Thu: 8:00AM - 5:00PM
Fri: 8:00AM - 5:00PM
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
ELIZABETH KARENA GOODROW PA 4803
JAMIE STEICHEN PA 3122

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