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DESAI, MASOOM       
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: 2211 LOMAS BLVD NE
ALBUQUERQUE NM 87106

Address last updated on 5/1/2022
Phone #:
Fax #:
County: NOT OKLAHOMA
License: 34640
Dated: 5/6/2019
Expires: 5/1/2022
License Type: Medical Doctor
Specialty: Neurology
Clinical Neurophysiology
CRITICAL CARE(NEUROLOGICAL SURGERY)
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Bharati Vidyapeeth Med Coll, B V Deemed Univ, Pune, Maharashtra, India
Graduated: 9 / 2009
CME Year: 2022
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
AMERICAN BOARD OF PSYCHIATRY AND NEUROLOGY - Clinical Neurophysiology
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: Hospital Not Listed
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Hospital(s) Not In Oklahoma
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Locations: Hours: Languages:
2211 LOMAS BLVD NE
ALBUQUERQUE NM 87106

Phone #:
Fax #:
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