Department of State
Board of Medicine
DEEPTHI SHIVANAND KOTIHAL
Graduate Medical Trainee
License number
MT190350
Date granted
04/26/2007
Date expires
06/30/2010
Class
Graduate Medical Trainee
Status
Inactive
Address
King of Prussia PA 19406-4415
medicinepa.com
ID 37543757
LAST UPDATED 2026-04-21 10:47:46 UTC
LAST UPDATED 2026-04-21 10:47:46 UTC
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