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BALAMUTHUSAMY, SARAVANAN       
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: PPG HEALTH, PA
1000 W CANNON ST
FORT WORTH TX 76104-3029

Address last updated on 6/16/2018
Phone #: (817) 914-3335
Fax #:
County: NOT OKLAHOMA
License: 34106
Dated: 11/16/2018
Expires: 11/1/2019
License Type: Medical Doctor
Specialty: Nephrology
Internal Medicine
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Madras Med Coll, Dr M G R Med Univ, Madras, Tn, India
Graduated: 5 / 2001
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 INTERNAL MEDICINE - Nephrology
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
PPG HEALTH, PA
1000 W CANNON ST
FORT WORTH TX 76104-3029

Phone #: (817) 914-3335
Fax #:

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