License holder summary

MAMTHA BALLA is a Graduate Medical Trainee licensed to practice in Pennsylvania. The address on file for MAMTHA BALLA is Willow Grove PA 19090. This medical practitioner license is not current. The license was granted 01/25/2012 and expired on 06/30/2015.

Department of State

Board of Medicine

MAMTHA BALLA
Graduate Medical Trainee
License number
MT200811
Date granted
01/25/2012
Date expires
06/30/2015
Class
Graduate Medical Trainee
Status
Expired
Address
Willow Grove PA 19090
medicinepa.com
ID 37521454
LAST UPDATED 2026-06-10 08:20:18 UTC

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