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Next Update: Friday, April 19, 2024 2:50 AM CDT

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KANDAVANAM, RAJ
Practice Address: 550 EAST DIXIE AVENUE
1590 S. SR 15-A
LEESBURG FL 34748

Address last updated on 6/21/2018
Phone #: (353) 323-2273
Fax #:
County: NOT OKLAHOMA
License: 27170
Dated: 7/1/2011
Expires: 7/1/2019
License Type: Medical Doctor
Specialty: Family Medicine
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: YES
Medical School: Ross Univ, Sch of Med, Roseau, Dominica
Graduated: 5 / 2009
CME Year: 2020
Pending and/or Past Disciplinary Actions: No Disciplinary Action Taken.
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Certifications: AMERICAN BOARD OF FAMILY MEDICINE
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
550 EAST DIXIE AVENUE
1590 S. SR 15-A
LEESBURG FL 34748

Phone #: (353) 323-2273
Fax #:
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:

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