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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Monday, April 29, 2024 4:03 AM CDT
Next Update: Monday, April 29, 2024 12:00 PM CDT

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MIRANDA, MARY ANN VENITA
Practice Address: 921 NE 13TH ST
OKLAHOMA CITY OK 73104

Address last updated on 9/29/2023
Phone #:
Fax #:
County: OKLAHOMA
License: 25323
Dated: 10/19/2006
Expires: 10/1/2024
License Type: Medical Doctor
Specialty: Internal Medicine
Allergy & Immunology
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: Med Coll, Univ Of Kerala, Trivandrum, Kerala, India
Graduated: 6 / 1997
CME Year: 2024
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 ALLERGY AND IMMUNOLOGY
AMERICAN BOARD OF INTERNAL MEDICINE
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: Mercy Hospital OKC
Oklahoma City, OK
Locations: Hours: Languages:
921 NE 13TH ST
OKLAHOMA CITY OK 73104

Phone #:
Fax #:
Mon:
Tue: 8:00AM - 6:00PM
Wed:
Thu: 8:00AM - 6:00PM
Fri:
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
RACHEL BREANNE TOMLIN PA 2421

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