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Oklahoma Board of Medical Licensure and Supervision

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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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GRIVAS, TANIA ATHANASIA       
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: CONCENTRA
1149 W 190TH ST.
GARDENA CA 90248

Address last updated on 5/31/2024
Phone #: (310) 324-5777
Fax #:
County: NOT OKLAHOMA
License: 41681
Dated: 6/28/2023
Expires: 6/1/2025
License Type: Medical Doctor
Specialty: Occupational Medicine
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: Tulane Univ Sch Of Med, New Orleans La 70112
Graduated: 6 / 1993
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:
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
CONCENTRA
1149 W 190TH ST.
GARDENA CA 90248

Phone #: (310) 324-5777
Fax #:
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:

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