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Next Update: Sunday, April 28, 2024 12:00 PM CDT
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MANICKAVASAGAM, EZHILARASI 
|
| Practice Address: |
5606 SW LEE BLVD
SUITE 201
LAWTON OK 73505
Address last updated on 5/5/2020 |
| Phone #: |
(580) 699-3000 |
| Fax #: |
(580) 699-2975 |
| County: |
COMANCHE |
| License: |
32236 |
| Dated: |
5/17/2016 |
| Expires: |
5/1/2021 |
| License Type: |
Medical Doctor |
| Specialty: |
Pediatrics |
|
| Status: |
Inactive |
| Status Class: |
Expired License |
| Restricted to: |
|
| Registered to Dispense: |
NO |
| Medical School: |
Vinayaka Mission M C, Karaikal, Pondicherry Univ, Pondicherry, UT, India |
| Graduated: |
5 /
2003 |
| CME Year: |
2022 |
|
|
Pending and/or Past Disciplinary Actions:
No Disciplinary Action Taken.
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All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
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| Certifications: |
AMERICAN BOARD OF PEDIATRICS |
| New Patients: |
Yes |
| Medicaid: |
Yes |
| Medicare: |
No |
| |
|
| HMO/PPO: |
None listed |
| Hospital Privileges: |
None listed |
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