THERUVATH, ILKA DIETLINDE - Licensee Information

Search Results

Last Update: Sunday, November 17, 2024 3:48 AM CST
Next Update: Sunday, November 17, 2024 12:00 PM CST

THERUVATH, ILKA DIETLINDE

Practice Address:	PROVIDENCE ANESTHESIOLOGY ASSOCIATES 131PROVIDENCE RD SUITE 200 CHARLOTTE NC 28207 Address last updated on 7/6/2021
Phone #:	(704) 749-5800 x1101
Fax #:
County:	NOT OKLAHOMA
License:	34077
Dated:	7/16/2018
Expires:	7/1/2021
License Type:	Medical Doctor
Specialty:	Anesthesiology Pediatric Anesthesiology (Pediatrics)

Status:	Inactive
Status Class:	Expired License
Restricted to:
Registered to Dispense:	NO
Medical School:	Med Hochschule Hannover, Hannover, Germany
Graduated:	11 / 2000
CME Year:	2021

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 ANESTHESIOLOGY - Pediatric Anesthesiology
New Patients:	Contact licensee
Medicaid:	Contact licensee
Medicare:	Contact licensee

HMO/PPO:	None listed
Hospital Privileges:	None listed

Locations:	Hours:	Languages:
PROVIDENCE ANESTHESIOLOGY ASSOCIATES 131PROVIDENCE RD SUITE 200 CHARLOTTE NC 28207 Phone #: (704) 749-5800 x1101 Fax #:	Mon: Tue: Wed: Thu: Fri: Sat: Sun: