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Sivasubramaniam
Sivasubramaniam
Kedarnath
Medical doctor
Gibsonia, United States
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Reveal information
Florida Health Care Practitioner Data Portal
Full name
Sivasubramaniam Kedarnath
Job Title
Medical Doctor
Location
Gibsonia, PA, USA
LIC ID
140752
Current License Expiration Date
31/01/2025
Original Date
24/01/2019
Professional Rank Code
ME
Effective Date
23/01/2023
Board Action Indicator
N
License Status Description
CLEAR
License Active Status Description
INACTIVE
Country Description
Out of State
Practice Location Address Line 1
124 Home Depot Drive
Practice Location Address Line 2
Suite D
Practice Location Address City
FRANKLIN
Practice Location Address State
PA
Practice Location Address Zipcode
16323
Prescribing Indicator
N
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