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Shravan
Shravan
Kambam
Medical doctor
Jersey City, United States
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Florida Health Care Practitioner Data Portal
Full name
SHRAVAN KAMBAM
Job Title
Medical Doctor
Location
Jersey City, NJ, USA
LIC ID
151705
Current License Expiration Date
31/01/2025
Original Date
16/07/2021
Professional Rank Code
ME
Effective Date
16/07/2021
Board Action Indicator
N
License Status Description
CLEAR
License Active Status Description
ACTIVE
Country Description
Out of State
Practice Location Address Line 1
St Michael's Cancer Center
Practice Location Address Line 2
111 Central Avenue
Practice Location Address City
NEWARK
Practice Location Address State
NJ
Practice Location Address Zipcode
07102
Prescribing Indicator
N
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