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RAVULA, SHANTAN BHARGAV REDDY
Practice Address: COLLEGE OF MEDICINE-TULSA
4502 EAST 41ST STREET
TULSA OK 73135

Address last updated on 6/30/2011
Phone #: (918) 660-3505
Fax #:
County: TULSA
License: 27286
Dated: 7/1/2011
Expires: 7/1/2012
License Type: Medical Doctor
Specialty: Family Medicine
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: SIDDHARTHA MED COLL, BANGALORE UNIV, TUMKUR, KARNATAKA, INDIA
Graduated: 11 / 2005
CME Year: 2014
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:
COLLEGE OF MEDICINE-TULSA
4502 EAST 41ST STREET
TULSA OK 73135

Phone #: (918) 660-3505
Fax #:

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