License holder summary

MAMATHA MAKAM GUPTA is a Graduate Medical Trainee licensed to practice in Pennsylvania. The address on file for MAMATHA MAKAM GUPTA is San Leandro CA 94578. This medical practitioner license is not current. The license was granted 04/16/2002 and expired on 06/30/2008.

Department of State

Board of Medicine

MAMATHA MAKAM GUPTA
Graduate Medical Trainee
License number
MT179099
Date granted
04/16/2002
Date expires
06/30/2008
Class
Graduate Medical Trainee
Status
Inactive
Address
San Leandro CA 94578
medicinepa.com
ID 37534057
LAST UPDATED 2024-04-19 14:34:18 UTC

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