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Last Update: Wednesday, December 18, 2024 6:43 PM CST
Next Update: Thursday, December 19, 2024 2:50 AM CST
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IRUKULLA, PAVAN KUMAR
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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.
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| Practice Address: |
1717 MAIN ST.
SUITE 5850
DALLAS TX 75201
Address last updated on 10/26/2024 |
| Phone #: |
(866) 483-9690 |
| Fax #: |
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| County: |
NOT OKLAHOMA |
| License: |
40103 |
| Dated: |
11/21/2022 |
| Expires: |
11/1/2025 |
| License Type: |
Medical Doctor |
| Specialty: |
Critical Care Medicine (Internal Medicine)
Pulmonary Critical Care Medicine |
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| Status: |
Active |
| Status Class: |
Fully Licensed |
| Restricted to: |
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| Registered to Dispense: |
NO |
| Medical School: |
Kasturba Med Coll Manipal, Manipal Acad Higher Ed, Manipal, Karnataka |
| Graduated: |
3 /
2001 |
| CME Year: |
2025 |
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Pending and/or Past Disciplinary Actions:
No Disciplinary Action Taken.
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All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
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| Certifications: |
AMERICAN BOARD OF INTERNAL MEDICINE
AMERICAN BOARD OF INTERNAL MEDICINE - Critical Care Medicine
AMERICAN BOARD OF INTERNAL MEDICINE - Pulmonary Disease |
| New Patients: |
Contact licensee |
| Medicaid: |
Contact licensee |
| Medicare: |
Contact licensee |
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| HMO/PPO: |
None listed |
| Hospital Privileges: |
None listed |
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