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Anjana
Anjana
Vidyadharan
Medical doctor
West Conshohocken, United States
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Florida Health Care Practitioner Data Portal
Full name
Anjana Vidyadharan
Job Title
Medical Doctor
Location
Conshohocken
LIC ID
143375
Current License Expiration Date
31/01/2025
Original Date
24/06/2019
Professional Rank Code
ME
Effective Date
24/06/2019
Board Action Indicator
N
License Status Description
CLEAR
License Active Status Description
ACTIVE
Country Description
Out of State
Practice Location Address Line 1
100 Front St., Ste. 280
Practice Location Address City
CONSHOHOCKEN
Practice Location Address State
PA
Practice Location Address Zipcode
19428
Prescribing Indicator
N
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