Medical Board of California
Licensing details for: PTL 4792
Name: SAMPATH, MAYA ANUSUYA
License Type: Postgraduate Training License
Primary Status: License Canceled

School Name: University of Southern California Keck School of Medicine
Graduation Year: 2020
Previous Names: Sampath, Maya Anusuya
Current Enrolled Postgraduate Training Program
Facility Name: Marian Regional Medical Center Program
City: Santa Maria
State: California
Speciality: Obstetrics and Gynecology
Start Date: 07/01/2020
Anticipated End Date: 09/30/2023
Address of Record
1400 E Church St
SANTA MARIA CA 93454-5906
SANTA BARBARA county
Map
License Relationships
Postgraduate Training License associated with Physician & Surgeon License
License/Registration Role: Postgraduate Training License
Related Party Role: Physician & Surgeon
Name: SAMPATH, MAYA ANUSUYA
License/Registration Type: Physician's and Surgeon's
License Number: 189733 Primary Status: License Renewed & Current
Address :
220 Palisade Dr
Ste 203
SANTA MARIA CA 93454
SANTA BARBARA COUNTY



