License holder summary

MAMATHA GADDAM is a Graduate Medical Trainee licensed to practice in Pennsylvania. The address on file for MAMATHA GADDAM is Ada OK 74820. This medical practitioner license is current. The license was granted 06/22/2015 and expired on 06/30/2017.

Department of State

Board of Medicine

MAMATHA GADDAM
Graduate Medical Trainee
License number
MT209869
Date granted
06/22/2015
Date expires
06/30/2017
Class
Graduate Medical Trainee
Status
Active
Address
Ada OK 74820
medicinepa.com
ID 37535498
LAST UPDATED 2024-04-02 20:11:47 UTC

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