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Mailvaganam
Mailvaganam
Sridharan
Medical doctor
Kalamazoo, United States
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Florida Health Care Practitioner Data Portal
Full name
MAILVAGANAM SRIDHARAN
Job Title
Medical Doctor
Location
Kalamazoo, MI, USA
LIC ID
79651
Current License Expiration Date
31/01/2026
Original Date
10/01/2002
Professional Rank Code
ME
Effective Date
06/02/2012
Board Action Indicator
N
License Status Description
CLEAR
License Active Status Description
ACTIVE
Country Description
Out of State
Practice Location Address Line 1
BORGESS MEDICAL CENTER
Practice Location Address Line 2
1521 GULL ROAD
Practice Location Address City
KALAMAZOO
Practice Location Address State
MI
Practice Location Address Zipcode
49048
Prescribing Indicator
N
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