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Next Update: Thursday, April 25, 2024 2:50 AM CDT

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VADLAMUDI, PHANI DEEPTHI
Practice Address: 815 N CLARE AVE
HARRISON MI 48625

Address last updated on 7/3/2014
Phone #:
Fax #:
County: NOT OKLAHOMA
License: 27761
Dated: 7/1/2012
Expires: 7/1/2014
License Type: Medical Doctor
Specialty: Family Medicine
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Gandhi Med Coll, NTR Univ of Hlth Sci, Secunderabad, AP, India
Graduated: 12 / 2006
CME Year: 2015
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:
815 N CLARE AVE
HARRISON MI 48625

Phone #:
Fax #:
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