Search Results
Last Update: Wednesday, December 18, 2024 6:43 PM CST
Next Update: Thursday, December 19, 2024 2:50 AM CST
Return to Search Licensees page
ITALIA, HIRENKUMAR DAMJIBHAI
|
|
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: |
7919 SKYE LOCHS DR
WAXHAW NC 28173
Address last updated on 11/2/2024 |
| Phone #: |
(704) 512-9921 |
| Fax #: |
|
| County: |
NOT OKLAHOMA |
| License: |
34461 |
| Dated: |
1/24/2019 |
| Expires: |
1/1/2026 |
| License Type: |
Medical Doctor |
| Specialty: |
Family Medicine
Sports Medicine (Family Practice) |
|
| Status: |
Active |
| Status Class: |
Fully Licensed |
| Restricted to: |
|
| Registered to Dispense: |
NO |
| Medical School: |
B J Med Coll, Gujarat Univ, Ahmedabad, Gujarat, India |
| Graduated: |
10 /
2002 |
| CME Year: |
2028 |
|
|
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: |
None listed |
|
|
|
Primary Supervisees(s):
|
| Name: |
Type: |
License Number: |
Full/Part Time: |
|
NIKKI JO ACUFF
|
PA |
4640 |
|
|
Return to Search Licensees page
