Oklahoma State SealOklahoma State Seal
Oklahoma Board of Medical Licensure and Supervision

Search Results

Last Update: Thursday, December 19, 2024 3:44 AM CST
Next Update: Thursday, December 19, 2024 12:00 PM CST

Return to Search Licensees page

MYNENI, MAMATA CHAUDARY       
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: VIRTUAL RADIOLOGIC
11995 SINGLETREE LN.
SUITE 500
EDEN PRAIRIE MN 55344

Address last updated on 10/27/2024
Phone #: (952) 595-1100
Fax #:
County: NOT OKLAHOMA
License: 37349
Dated: 12/7/2020
Expires: 12/1/2024
Temp. Lic. Issued: 11/5/2020
Temp. Lic. Expires: 1/21/2021
License Type: Medical Doctor
Specialty: Diagnostic Radiology
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: NEW YORK MED COLL, VALHALLA NY 10595
Graduated: 5 / 2007
CME Year: 2026
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 RADIOLOGY (Diagnostic Radiology specific)
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: Mercy Hospital Healdton (fmly Healdton Municipal)
Healdton, OK
Mercy Hospital OKC
Oklahoma City, OK
Mercy Hospital Tishomingo (fmly Johnston Memorial)
Tishomingo, OK
Oklahoma Heart Hospital - South Campus (5200 I-240 Service Rd)
Oklahoma City, OK
Locations: Hours: Languages:
VIRTUAL RADIOLOGIC
11995 SINGLETREE LN.
SUITE 500
EDEN PRAIRIE MN 55344

Phone #: (952) 595-1100
Fax #:
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:

Return to Search Licensees page