Medical Board of California
Licensing details for: PTL 13568
Name: MAKARYAN, TADEVOS TODD
License Type: Postgraduate Training License
Primary Status: License Canceled

School Name: Nova Southeastern University Dr. Kiran C. Patel College of Allopathic Medicine
Graduation Year: 2023
Current Enrolled Postgraduate Training Program
Facility Name: HCA HEALTHCARE/LOS ROBLES REGIONAL MEDICAL CENTER PROGRAM
City: Thousand Oaks
State: California
Speciality: Surgery
Start Date: 07/01/2023
Anticipated End Date: 08/20/2024
Address of Record
12612 Gilmore St
NORTH HOLLYWOOD CA 91606-1245
LOS ANGELES county
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License Relationships
Postgraduate Training License associated with Physician & Surgeon License
License/Registration Role: Postgraduate Training License
Related Party Role: Physician & Surgeon
Name: MAKARYAN, TADEVOS TODD
License/Registration Type: Physician's and Surgeon's
License Number: 204923 Primary Status: License Renewed & Current
Address :
12612 Gilmore St
NORTH HOLLYWOOD CA 91606-1245
LOS ANGELES COUNTY



