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

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MIKKINENI, KARTHIK       
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: STANFORD UNIVERSITY SCHOOL OF MEDICINE
300 PASTEUR DRIVE
ALWAY M-121300 PASTEUR DRIVE ALWAY M-121
PALO ALTO CA 94305

Address last updated on 10/18/2024
Phone #: (650) 497-9735
Fax #:
County: NOT OKLAHOMA
License: 40696
Dated: 8/15/2023
Expires: 8/1/2025
License Type: Medical Doctor
Specialty: Vascular Surgery
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: Guntur Med Coll, NTR Univ of Hlth Sci, Guntur, A P, India
Graduated: 7 / 2010
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 SURGERY (Vascular Surgery specific)
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
STANFORD UNIVERSITY SCHOOL OF MEDICINE
300 PASTEUR DRIVE
ALWAY M-121300 PASTEUR DRIVE ALWAY M-121
PALO ALTO CA 94305

Phone #: (650) 497-9735
Fax #:
Mon:
Tue:
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Thu:
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Sat:
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