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Licensing details for: PTL 8684

Name: Deshpande, Nikita

License Type: Postgraduate Training License

Primary Status: License Canceled Primary Status Definition

School Name: Georgetown University School of Medicine

Graduation Year: 2022

Current Enrolled Postgraduate Training Program

Facility Name: CALIFORNIA PACIFIC MEDICAL CENTER PROGRAM

City: San Francisco

State: California

Speciality: Internal Medicine

Start Date: 06/24/2022

Anticipated End Date: 06/23/2023

Address of Record

1101 Van Ness Ave Ste 1100
SAN FRANCISCO CA 94109-6919
SAN FRANCISCO county
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Issuance Date

June 29, 2022

Expiration Date

N/A

Current Date / Time

June 21, 2025
1:3:1 AM

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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: Deshpande, Nikita

License/Registration Type: Physician's and Surgeon's

License Number: 189044 Primary Status: License Renewed & Current

Address :
513 Parnassus Ave # 261
SAN FRANCISCO CA 94143-2205
SAN FRANCISCO COUNTY

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