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
BANERJEE, SHOMIR
|
|
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: |
2100 GARDEN RD
STE H2
MONTEREY CA 93940
Address last updated on 6/25/2024 |
| Phone #: |
(831) 777-2525 |
| Fax #: |
(831) 233-3983 |
| County: |
NOT OKLAHOMA |
| License: |
34975 |
| Dated: |
7/5/2019 |
| Expires: |
7/1/2025 |
| License Type: |
Medical Doctor |
| Specialty: |
Family Medicine |
|
| Status: |
Active |
| Status Class: |
Fully Licensed |
| Restricted to: |
|
| Registered to Dispense: |
NO |
| Medical School: |
Wright St Univ Boonshoft SOM, Dayton OH |
| Graduated: |
5 /
2006 |
| CME Year: |
2025 |
|
|
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: |
|
OMOTOLU AJE
|
APRN |
128296 |
|
|
Return to Search Licensees page
