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Gopika
Gopika
Dasari
Medical doctor
San Jose, United States
Profile Privacy
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Reveal information
Florida Health Care Practitioner Data Portal
Full name
Gopika Dasari
Job Title
Medical Doctor
Location
San Jose, CA, USA
LIC ID
154503
Current License Expiration Date
31/01/2025
Original Date
04/05/2021
Professional Rank Code
ME
Effective Date
04/05/2021
Board Action Indicator
N
License Status Description
CLEAR
License Active Status Description
ACTIVE
Country Description
Out of State
Mailing Address Line 2
apt b-402
Practice Location Address Line 1
5827 charlotte drive
Practice Location Address Line 2
apt b-402
Practice Location Address City
SAN JOSE
Practice Location Address State
CA
Practice Location Address Zipcode
95123
Mode Code
Dispensing Practitioner, NICA Exempt, In Training Program Receives Fee Reducti
Prescribing Indicator
N
Dispensing Indicator
Y
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