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Next Update: Saturday, April 27, 2024 2:50 AM CDT

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RAJU, MANTENA KRISHNAM
Practice Address: 5 PROFESSIONAL PARK
WEBSTER TX 77598
Phone #:
Fax #:
County: NOT OKLAHOMA
License: 11640
Dated: 2/15/1978
Expires: 6/30/1990
License Type: Medical Doctor
Specialty: Anesthesiology
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: INDIA MEDICAL SCHOOLS
Graduated: 12 / 1971
CME Year:
Pending and/or Past Disciplinary Actions:
Date Action Reasons Remarks
5/11/1989 Probation
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:
5 PROFESSIONAL PARK
WEBSTER TX 77598

Phone #:
Fax #:

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