License holder summary

PRABHAV KOTI HANUMATH TELLA is a Graduate Medical Trainee licensed to practice in Pennsylvania. The address on file for PRABHAV KOTI HANUMATH TELLA is Baltimore MD 21209. This medical practitioner license is not current. The license was granted 06/09/2003 and expired on 06/30/2006.

Department of State

Board of Medicine

PRABHAV KOTI HANUMATH TELLA
Graduate Medical Trainee
License number
MT182517
Date granted
06/09/2003
Date expires
06/30/2006
Class
Graduate Medical Trainee
Status
Inactive
Address
Baltimore MD 21209
medicinepa.com
ID 37572850
LAST UPDATED 2026-06-05 22:24:35 UTC

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