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Physician Last Name Physician First Name Physician Middle Name License Number License Type Effective Date Date Updated Year of Birth
Kayastha Sujan 266376 MD 05/31/2019 05/24/2019 1981
Hakimi Edmond 268985 DO 03/21/2019 03/14/2019 1981
Parihar Jasmit K. 262339 DO 11/09/2018 11/02/2018 1981
Ross Heather Lynn 311543 MD 09/29/2017 09/22/2017 1981
Ross Heather Lynn None MD 09/29/2017 09/22/2017 1981
Stolpner Dennis 272612 MD 01/05/2017 06/12/2017 1981
Patel Shital 270993 MD 02/15/2016 02/09/2016 1981
Pamplona Michael 009633 PA 11/26/2015 11/23/2015 1981
Ugoeke Joseph C 273851 MD 08/06/2015 07/30/2015 1981
Potouridis Maria 009478 PA 02/11/2013 02/04/2013 1981
Jones Brittany Pardue 257384 MD 11/21/2012 11/14/2012 1981
Boyarsky Justin S 009522 PA 10/19/2012 10/12/2012 1981
Reyes Jeffrey 009420 PA 05/31/2010 05/25/2010 1981
Tatum David Arthur 279951 DO 04/15/2024 04/09/2024 1982
Hartlieb Laura A. 013902 PA 04/15/2024 04/09/2024 1982
Horton Daniel A. 024076 PA 04/15/2024 04/08/2024 1982
Belli Bianca A. 282441 DO 12/11/2023 12/08/2023 1982
Pham Nhan Van 275151 DO 02/28/2023 02/22/2023 1982
Sage Nancy N. 290635 MD 11/22/2022 11/15/2022 1982
Damodar Stephanie Terese 010938 PA 10/18/2022 10/11/2022 1982
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