License holder summary

MANTHODI KULANGARA FAISAL is a Graduate Medical Trainee licensed to practice in Pennsylvania. The address on file for MANTHODI KULANGARA FAISAL is Piscataway NJ 08854. This medical practitioner license is not current. The license was granted 07/20/2004 and expired on 06/30/2007.

Department of State

Board of Medicine

MANTHODI KULANGARA FAISAL
Graduate Medical Trainee
License number
MT185220
Date granted
07/20/2004
Date expires
06/30/2007
Class
Graduate Medical Trainee
Status
Expired
Address
Piscataway NJ 08854
medicinepa.com
ID 37531394
LAST UPDATED 2026-04-19 16:04:47 UTC

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