Massachusetts
Division of Professional Licensure
Prathima Nandivada
Board Of Registration In Medicine
License number
253386
Date granted
09/19/2012
Date expires
10/14/2017
Class
Board Of Registration In Medicine
Status
Active
Address
330 Longwood Avenue
licensingma.org
ID 41460430
LAST UPDATED 2024-03-16 01:13:51 UTC
LAST UPDATED 2024-03-16 01:13:51 UTC
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