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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Wednesday, April 24, 2024 3:08 PM CDT
Next Update: Thursday, April 25, 2024 2:50 AM CDT

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MADALA, CHANDRAMOULI
Practice Address: HUEY P LONG MEM HOSPITAL
EMERGENCY ROOM
PINEVILLE LA 71360
Phone #:
Fax #:
County: NOT OKLAHOMA
License: 11339
Dated: 6/30/1977
Expires: 6/30/1989
License Type: Medical Doctor
Specialty: Internal Medicine
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: INDIA MEDICAL SCHOOLS
Graduated: 6 / 1974
CME Year:
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 INTERNAL MEDICINE
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
HUEY P LONG MEM HOSPITAL
EMERGENCY ROOM
PINEVILLE LA 71360

Phone #:
Fax #:

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