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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Monday, April 29, 2024 4:03 AM CDT
Next Update: Monday, April 29, 2024 12:00 PM CDT

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VEDALA, RAGHUVEER
Practice Address: 2605 SW 119TH
SUITE A
OKLAHOMA CITY OK 73170

Address last updated on 4/25/2023
Phone #: (405) 912-3400
Fax #:
County: OKLAHOMA
License: 35704
Dated: 5/26/2020
Expires: 5/1/2025
License Type: Medical Doctor
Specialty: Family Medicine
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: YES
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduated: 5 / 2017
CME Year: 2026
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: OU Medical Center
Oklahoma City, OK
Locations: Hours: Languages:
2605 SW 119TH
SUITE A
OKLAHOMA CITY OK 73170

Phone #: (405) 912-3400
Fax #:
Mon: 8:00AM - 5:00PM
Tue: 8:00AM - 5:00PM
Wed: 8:00AM - 5:00PM
Thu: 8:00AM - 5:00PM
Fri: 8:00AM - 5:00PM
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
DAO GOODNIGHT APRN 109955

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