Oklahoma State SealOklahoma State Seal
Oklahoma Board of Medical Licensure and Supervision

Search Results

Last Update: Tuesday, May 7, 2024 6:58 PM CDT
Next Update: Wednesday, May 8, 2024 2:50 AM CDT

Return to Search Licensees page

MAHANTY, SIDDHARTHA
Practice Address: 921 NE 13TH ST
OKLAHOMA CITY OK 73129
Phone #:
Fax #:
County: OKLAHOMA
License: 15508
Dated: 7/1/1986
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: AUSTRALIA MEDICAL SCHOOLS
Graduated: 2 / 1980
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:
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
921 NE 13TH ST
OKLAHOMA CITY OK 73129

Phone #:
Fax #:

Return to Search Licensees page