License holder summary

SURAJ VISHAKHA PUTTANNIAH is a Graduate Medical Trainee licensed to practice in Pennsylvania. The address on file for SURAJ VISHAKHA PUTTANNIAH is Philadelphia PA 19146. This medical practitioner license is not current. The license was granted 05/09/2006 and expired on 06/30/2010.

Department of State

Board of Medicine

SURAJ VISHAKHA PUTTANNIAH
Graduate Medical Trainee
License number
MT188764
Date granted
05/09/2006
Date expires
06/30/2010
Class
Graduate Medical Trainee
Status
Inactive
Address
Philadelphia PA 19146
medicinepa.com
ID 37559391
LAST UPDATED 2026-05-20 03:51:33 UTC

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