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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Friday, April 19, 2024 6:57 PM CDT
Next Update: Saturday, April 20, 2024 2:50 AM CDT

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KANDULA, MADAN NARAYANA
Practice Address: 2500 N MAYFAIR ROAD
SUITE 450
MILWAUKEE WI 53226
Phone #: (414) 475-9300
Fax #: (405) 271-3248
County: NOT OKLAHOMA
License: 21309
Dated: 8/20/1999
Expires: 8/1/2003
License Type: Medical Doctor
Specialty: Otolaryngology
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Hahnemann Univ Sch Of Med, Philadelphia Pa 19102
Graduated: 5 / 1998
CME Year: 2005
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: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: Aetna HMO
Aetna PPO
BlueChoice PPO
BlueLincs HMO
HealthChoice
Preferred Community Choice
Prudential Health Care Plan, Inc
United Healthcare HMO
United Healthcare Options PPO
Hospital Privileges: Hospital(s) Not In Oklahoma
,
Locations: Hours: Languages:
2500 N MAYFAIR ROAD
SUITE 450
MILWAUKEE WI 53226

Phone #: (414) 475-9300
Fax #: (405) 271-3248
Mon: 8:00AM - 5:00PM
Tue: 8:00AM - 5:00PM
Wed: 8:00AM - 5:00PM
Thu: 8:00AM - 5:00PM
Fri: 8:00AM - 5:00PM

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