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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Saturday, April 27, 2024 6:58 PM CDT
Next Update: Sunday, April 28, 2024 2:50 AM CDT

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YALAMANCHILI, SHANKAR BASAVA
Practice Address: OKLAHOMA PSYCHIATRY & BEHAVORIAL HEALTH
1602 SOUTH WEST 82ND STREET
LAWTON OK 73505

Address last updated on 3/1/2021
Phone #: (334) 239-2622
Fax #:
County: COMANCHE
License: 37965
Dated: 3/2/2021
Expires: 3/1/2024
License Type: Medical Doctor
Specialty:
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
CME Year: 2024
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:
OKLAHOMA PSYCHIATRY & BEHAVORIAL HEALTH
1602 SOUTH WEST 82ND STREET
LAWTON OK 73505

Phone #: (334) 239-2622
Fax #:

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