Oklahoma State SealOklahoma State Seal
Oklahoma Board of Medical Licensure and Supervision

Search Results

Last Update: Tuesday, May 14, 2024 7:02 PM CDT
Next Update: Wednesday, May 15, 2024 2:50 AM CDT

Return to Search Licensees page

VRIDHACHALAM, SANJEEVI       
Practice Address: STATRAD
13280 EVENING CREEK DRIVE S
SUITE 110
SAN DIEGO CA 92128

Address last updated on 5/7/2020
Phone #: (858) 546-3800
Fax #:
County: NOT OKLAHOMA
License: 34615
Dated: 5/6/2019
Expires: 5/1/2021
License Type: Medical Doctor
Specialty: Diagnostic Radiology
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: New York Univ Med Coll, New York
Graduated: 5 / 1999
CME Year: 2022
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 RADIOLOGY (Diagnostic Radiology specific)
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
STATRAD
13280 EVENING CREEK DRIVE S
SUITE 110
SAN DIEGO CA 92128

Phone #: (858) 546-3800
Fax #:
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:

Return to Search Licensees page