Skip to Main Content

Licensing details for: PTL 4792

Name: SAMPATH, MAYA ANUSUYA

License Type: Postgraduate Training License

Primary Status: License Canceled Primary Status Definition

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

Issuance Date

November 20, 2020

Expiration Date

N/A

Current Date / Time

April 3, 2026
2:52:27 PM

Public Record Actions

Public Documents

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

Map

Important Links