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Oklahoma Board of Medical Licensure and Supervision

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Next Update: Friday, April 26, 2024 2:50 AM CDT

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EDALATI, SHADI
Practice Address: 4023 NW 10 STREET
OKLAHOMA CITY OK 73107

Address last updated on 9/1/2017
Phone #:
Fax #:
County: OKLAHOMA
License: 27180
Dated: 9/27/2011
Expires: 9/1/2018
License Type: Medical Doctor
Specialty: Family Medicine
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: YES
Medical School: Med Univ of the Americas
Graduated: 5 / 2009
CME Year: 2020
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 FAMILY MEDICINE
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
4023 NW 10 STREET
OKLAHOMA CITY OK 73107

Phone #:
Fax #:
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