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Physician Records |
Physician Last Name: | Suryadevara | |||||||||
Physician First Name: | Rao | |||||||||
Physician Middle Name: | Radhakrishna | |||||||||
Address: | 38-01 149th Street Flushing, New York 11354 | |||||||||
License Number: | 196779 | |||||||||
License Type: | MD | |||||||||
Year of Birth: | 1957 | |||||||||
Effective Date: | 11/08/2004 | |||||||||
Action Description for DOH Webpage: | License revocation. | |||||||||
Misconduct Description for DOH Webpage: | The Review Board affirmed the Hearing Committee's July 1, 2004 penalty and determination finding the physician guilty of practicing while impaired by a physical or mental disability and with having a psychiatric condition which impairs the physician's ability to practice medicine.Previously an Interim Order was issued on June 2, 2004 ordering the summary license suspension of March 18, 2004 to remain in effect pending the final resolution of the charges. | |||||||||
License Limitations or Conditions for DOH Webpage: | ||||||||||
Board Order: |
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