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Srinivasa
Srinivasa
Mandadapu
Medical doctor
Wichita Falls, United States
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Reveal information
Florida Health Care Practitioner Data Portal
Full name
SRINIVASA MANDADAPU
Job Title
Medical Doctor
Location
Wichita Falls, TX, USA
LIC ID
142491
Current License Expiration Date
31/01/2025
Original Date
26/03/2019
Professional Rank Code
ME
Effective Date
26/03/2019
Board Action Indicator
N
License Status Description
CLEAR
License Active Status Description
ACTIVE
Country Description
Out of State
Practice Location Address Line 1
4806 Lombardi Lane
Practice Location Address City
WICHITA FALLS
Practice Location Address State
TX
Practice Location Address Zipcode
76310
Prescribing Indicator
N
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