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Physician Last Name Physician First Name Physician Middle Name License Number License Type Effective Date Date Updated Year of Birth
Lapides David A. 307241 MD 02/15/2023 02/08/2023 1984
Kambhampati Avinash 279666 DO 12/09/2022 12/02/2022 1984
Malvasi Anthony John 284525 DO 10/20/2022 10/13/2022 1984
Anderson Tasha Monique 013877 PA 12/08/2020 12/01/2020 1984
Davidson Donald Dale 290824 MD 11/30/2020 11/23/2020 1984
Shah Anup 264203 MD 04/29/2020 04/22/2020 1984
Byrne Briana L. 012213 PA 09/10/2019 09/03/2019 1984
Falls Thomas David 282977 MD 06/26/2019 06/19/2019 1984
Lopez-Morell Lorraine 267881 MD 12/20/2018 12/13/2018 1984
Patel Palakkumar 012943 PA 01/10/2018 01/04/2018 1984
Tintle Suzanne None MD 10/26/2017 10/19/2017 1984
Kamen Charles E. 267117 MD 09/25/2017 09/19/2017 1984
Riesgo Aldo 280800 MD 02/21/2017 02/14/2017 1984
Anderson Tasha Monique 013877 PA 02/01/2017 01/26/2017 1984
Budwal Harmanpreet None MD 03/25/2016 03/18/2016 1984
Dewitt Sarah M 011398 PA 10/29/2012 10/22/2012 1984
Jones Ryan T. 026201 PA 05/09/2024 05/02/2024 1985
Hiremath Karthik 293605 MD 12/19/2023 12/12/2023 1985
Weis Adam J. 285446 MD 09/07/2023 08/31/2023 1985
Wiggins Marwan Chukwunoso 283027 MD 02/08/2023 02/01/2023 1985
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