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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Thursday, May 2, 2024 5:08 PM CDT
Next Update: Friday, May 3, 2024 2:50 AM CDT

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PAMADURTHI, PAVAN KUMAR REDDY
Practice Address: CERBERAL
6001 CASS AVE
OFFICE 03-105
DETROIT MI 48202

Address last updated on 12/9/2021
Phone #: (415) 403-2156
Fax #:
County: NOT OKLAHOMA
License: 38906
Dated: 11/12/2021
Expires: 11/1/2024
License Type: Medical Doctor
Specialty:
Status: Active
Status Class: Fully Licensed
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:
CERBERAL
6001 CASS AVE
OFFICE 03-105
DETROIT MI 48202

Phone #: (415) 403-2156
Fax #:

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