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|
VARANASI, BALAVITTAL |
| Practice Address: |
936 MLK BLVD
P.O.BOX 1265
CENTRALIA IL 62801-9119
Address last updated on 9/3/2011 |
| Phone #: |
(618) 532-6439 |
| Fax #: |
(618) 532-1549 |
| County: |
NOT OKLAHOMA |
| License: |
18683 |
| Dated: |
9/30/1993 |
| Expires: |
9/1/2011 |
| License Type: |
Medical Doctor |
| Specialty: |
Family Medicine
Other Specialty |
|
| Status: |
Inactive |
| Status Class: |
Physician Emeritus |
| Restricted to: |
|
| Registered to Dispense: |
NO |
| Medical School: |
Osmania Med Coll, NTR Univ of Hlth Sci, Hyderabad, AP, India |
| Graduated: |
8 /
1979 |
| CME Year: |
2012 |
|
|
Pending and/or Past Disciplinary Actions:
No Disciplinary Action Taken.
|
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All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
|
| Certifications: |
AMERICAN BOARD OF FAMILY MEDICINE |
| New Patients: |
No |
| Medicaid: |
No |
| Medicare: |
No |
| |
|
| HMO/PPO: |
Aetna HMO
Aetna PPO
United Healthcare Options PPO |
| Hospital Privileges: |
Hospital Not Listed
,
Hospital(s) Not In Oklahoma
,
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