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Last Name First Name License# Appiah Paula Murray D0072252 Bhalala Reena Utpal D0076488 Carrigan Kathleen Marie D0070959 Cazares Paulette R D0063520 Champion Amber L. D0073907 Fowler Malini D0075904 Kolarova Amy Lynn H0068882 Loven Victoria A D0068573 Ma Ann I D0037326 Ma Ruhong H0075906 Maan Vikas D0081681 Maassen Martin Jay D0082770 Maayan Lawrence Avery D0082517 MABROUK FADIA MOHAMED D0028558 Macalanda Jennifer Ong Oh D0075215 Macdonald Susan M D0030881 Mack Avram Howard D0063243 Mackall Crystal Lee D0046343 Macker Manjit K D0018530 Macleod Bruce Alan D0080748 Macon Michael G D0030763 Madarang-Lewis Joy D0050929 Maes Earl Blair D0078184 Magal Charles Philip D0036194 Maguire Michael D D0015657 Mahato Deependra H0081447 Mahboob Syed Khurram D0070693 Mahdavi Iradj D0006946 Mahidhar Ravilla Lakshmipathy D0081014 Mahmud Aneela D0072642 Mahmud Faiqa D0073252 Mahmud Mobusher D0063705 Mahoney Anne Marie D0078999 Mai Phuong Loan-Ha D0066872 MAIZEL SCOTT ELLIS D0029802 Majmudar Salony Mahendra D0083297 Majzner Robbie Gerome D0078699 Makam Raghavendra Charan Parthasarathi D0081580 Makari Doris Angelina D0041389 Makri Angeliki D0080206 Maldonado Burdette Edwin William D0063302 Malee Maureen Patrice D0080763 Malek Shawki N D0017714 Malhotra Kavin D0082868 Malhotra Nidhi D0081124 Malhotra Saurabh D0080111 Malik Humera Erum D0056428 Malik Rawshan Jahan D0068878 Malik Tariq Mahmood D0026060 Non-Renewed Physicians whose License Expired 9/30/17 Maryland Board of Physicians Data compiled 10/5/17. For the most up-to-date information regarding a practitioner, please visit the Practitioner Profile at www.mbp.state.md.us/bpqapp.

Maryland Board of Physicians Non-Renewed Physicians … · Mascarenhas Vilma Carmen D0050932 Data compiled 10/5/17. ... Moya Mario D0066857 Mozayeni Cyrus David D0068519 Muangman

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Page 1: Maryland Board of Physicians Non-Renewed Physicians … · Mascarenhas Vilma Carmen D0050932 Data compiled 10/5/17. ... Moya Mario D0066857 Mozayeni Cyrus David D0068519 Muangman

Last Name First Name License#Appiah Paula Murray D0072252Bhalala Reena Utpal D0076488Carrigan Kathleen Marie D0070959Cazares Paulette R D0063520Champion Amber L. D0073907Fowler Malini D0075904Kolarova Amy Lynn H0068882Loven Victoria A D0068573Ma Ann I D0037326Ma Ruhong H0075906Maan Vikas D0081681Maassen Martin Jay D0082770Maayan Lawrence Avery D0082517MABROUK FADIA MOHAMED D0028558Macalanda Jennifer Ong Oh D0075215Macdonald Susan M D0030881Mack Avram Howard D0063243Mackall Crystal Lee D0046343Macker Manjit K D0018530Macleod Bruce Alan D0080748Macon Michael G D0030763Madarang-Lewis Joy D0050929Maes Earl Blair D0078184Magal Charles Philip D0036194Maguire Michael D D0015657Mahato Deependra H0081447Mahboob Syed Khurram D0070693Mahdavi Iradj D0006946Mahidhar Ravilla Lakshmipathy D0081014Mahmud Aneela D0072642Mahmud Faiqa D0073252Mahmud Mobusher D0063705Mahoney Anne Marie D0078999Mai Phuong Loan-Ha D0066872MAIZEL SCOTT ELLIS D0029802Majmudar Salony Mahendra D0083297Majzner Robbie Gerome D0078699Makam Raghavendra Charan Parthasarathi D0081580Makari Doris Angelina D0041389Makri Angeliki D0080206Maldonado Burdette Edwin William D0063302Malee Maureen Patrice D0080763Malek Shawki N D0017714Malhotra Kavin D0082868Malhotra Nidhi D0081124Malhotra Saurabh D0080111Malik Humera Erum D0056428Malik Rawshan Jahan D0068878Malik Tariq Mahmood D0026060

Non-Renewed Physicians whose License Expired 9/30/17Maryland Board of Physicians

Data compiled 10/5/17.For the most up-to-date information regarding a practitioner, please visit the Practitioner Profile

at www.mbp.state.md.us/bpqapp.

Page 2: Maryland Board of Physicians Non-Renewed Physicians … · Mascarenhas Vilma Carmen D0050932 Data compiled 10/5/17. ... Moya Mario D0066857 Mozayeni Cyrus David D0068519 Muangman

Non-Renewed Physicians whose License Expired 9/30/17Maryland Board of Physicians

Malinoski Frank Joseph D0034048Maliyekkel Anil Thomas D0075504Malkani Vikram Jaikrishen D0041270Malkin Stanley Lee D0041870Mall Sunita Kumari D0077214Mallampati Gautham Krishna D0064998Mallemat Haney A. D0070853Mallik Saroja D0057334Mallory Nicole Christine D0079848Malloy Bernard M D0037804Mallya Nirmala D0018917Malone Ricky Dee D0057154Malpass III Howard Charles D0080995Malveaux Floyd J D0026774Malvoisin Crystal Mercia D0076080Mamalakis Peter Mark D0074461Mamani Felix D0044240Mancebo Heather Marie G. D0074885Manchandani Raj Pal D0080426Mandelbaum Stephen Robert D0054642Manfredi Brian John D0080668Manganiello Vincent C D0007060Mangla Dipty D0075184Mann Darin Leray Paul H0072175Mansur Izzuddin Ali D0034247Mantei Kristin Marie D0078385Mapes Peter Blakeslee D0070898Marchant Betty Lou D0060315Marcus Lawrence D D0009215Marcus Michael Steven D0078905Marcus Stuart O D0021502Mardelli Talaat Joseph D0023521Margo Jordan Ambrose D0080730Margolin Chaim Jacob D0057279Margolis Marc D0058154Mari Zoltan D0064383Mark Frank R D0014715Mark Steven D0031386Marker David Reeve D0073855Marocha Vikram D0077106Marquez Jaime F D0026265Marshall David Anthony H0071370Martello Justin Paul D0079709Marter Halketh L D0007850Martin Don Richard D0040897Martin James Francis D0077623Martin Laura Young D0080193Martin Linda Williams D0066336Marty Jerry John D0067043Mascarenhas Vilma Carmen D0050932

Data compiled 10/5/17.For the most up-to-date information regarding a practitioner, please visit the Practitioner Profile

at www.mbp.state.md.us/bpqapp.

Page 3: Maryland Board of Physicians Non-Renewed Physicians … · Mascarenhas Vilma Carmen D0050932 Data compiled 10/5/17. ... Moya Mario D0066857 Mozayeni Cyrus David D0068519 Muangman

Non-Renewed Physicians whose License Expired 9/30/17Maryland Board of Physicians

Mason Daniel Gordon D0081983Mason Gary R D0020369Masoodsinaki Sarah D0077226Masrani Deepa Milind D0077061Massoglia Dino Peter D0067357Mates Simon Edward D0079701Mathai Ashwini H0081298Mathew Jiju D0080418Mathew Thomas D0077386Mathews Daniel Cochukattil D0073126Mathews Molly Robinson D0080490Mathur Muktak D0078382Mathur Sharmili H0071189Mathur Vinita D0077821Matonis Joseph John D0022214MATSAKIS REBECCA R D0029694Matthews Jason Lee D0073726Matthews Karen Leigh D0069629Mattingly John Anthony D0068341Mattis Tod Alan D0077733MATUS ALICIA MERCEDES D0029138Matz Lola C D0007066Matzon Jonas Leif D0069001Maughan Benjamin L. D0075678Maupin Jr. Robert Talmadge D0044835May Kathleen Ruffing D0047970May William Alan D0046887Mayer Richard F D0007043Mayne Jennifer Chenault D0080082Mazari Peter Marlyn D0080753Mazer Steven F D0019368Mazur John Michael D0083186Mazur Michael Thomas D0076631Mbi Ndakor Sussan D0077451Mc Manus Maria E. R. D0036370McArthur Benjamin Allen D0077658McArthur Karina Arbatova D0076454McAuliffe Jay F D0027253Mcbreen Joseph Andersen D0047841McBride Donald Wade D0073125McCabe Dennis J D0018810McCarter John Christian D0073786McCarthy Richard John D0068948McCarty Stacy Rene D0080516McClelland Paul A D0022734McClendon Richard Anthony D0079682McCloskey Ann M D0026800McCloskey Carrie Elizabeth D0081429Mccloud Willie L D0021440McClure Meghan Elizabeth D0080078

Data compiled 10/5/17.For the most up-to-date information regarding a practitioner, please visit the Practitioner Profile

at www.mbp.state.md.us/bpqapp.

Page 4: Maryland Board of Physicians Non-Renewed Physicians … · Mascarenhas Vilma Carmen D0050932 Data compiled 10/5/17. ... Moya Mario D0066857 Mozayeni Cyrus David D0068519 Muangman

Non-Renewed Physicians whose License Expired 9/30/17Maryland Board of Physicians

Mcconville Barry B D0038518McCormick Craig Daniel D0058282Mccoy Catherine Frances D0035293Mccrea Erlinda S D0018925McCullar Linda Faye D0042447McCulloch Michael A. D0067981McCullough Daniel Grant D0066111McCullough Sophia Grecos D0069984McCurdy Bruce R D0025861McDonald Vanessa Jacqueline D0079644McDonnell IV John Carroll D0081339McElgunn Patrick Shane James D0058240McGonigal Lisa Jo D0060436McGowan Emily Clarke D0074711McGowan James Austin D0072020McGrath Brian Jay D0046844McGuckin Jr. James Frederick D0062353McGuigan Francis Xavier D0056267Mcintosh Charles Leonard D0030935MCINTYRE DENNIS BERNARD D0028704McKay Kristopher Michael D0082372McKhann Guy M D0007255McKinney Craig Arthur D0080264Mckinnon Brian John D0042364McLuckie Alan Earley D0058244McMahon Kimberly Erin D0082251McMillan Julia A D0041140McNally Brian Patrick D0069821McNeil John Steven D0078676McNiesh Lawrence D0023691McQuay Jr. Nathaniel D0059114Meador Tristan Flynn D0077267Medbery III Clinton Amos D0027432Meehan Robert S. D0080654Meeks Andrew D0081682Meeks Lloyd Calhoun D0080629Mehan Vineet D0067453Mehrani Taraneh D0066939Mehta Ambereen Kurwa D0079051Mehta Gautam Unmeel D0075755Mehta Nikhil Kirtikar D0062526Meier Harriet L D0019173Mejia Marco Antonio D0046303Melia Michael R. D0072436Mendelis Peter S D0025586Mendelsohn Barry L D0025618Mendelson Sander H D0006619Mendoza Ernesto P D0007003Mener David Jonathan D0079062

Data compiled 10/5/17.For the most up-to-date information regarding a practitioner, please visit the Practitioner Profile

at www.mbp.state.md.us/bpqapp.

Page 5: Maryland Board of Physicians Non-Renewed Physicians … · Mascarenhas Vilma Carmen D0050932 Data compiled 10/5/17. ... Moya Mario D0066857 Mozayeni Cyrus David D0068519 Muangman

Non-Renewed Physicians whose License Expired 9/30/17Maryland Board of Physicians

Menke Joshua Robert D0079252Mensch Arthur H D0023064Mentrikoski Mark Joseph D0077618Meoded Avner D0082116Meraj Riffat D0073803Meratee Maryam D0068667Merchant Azher Moiz D0071830Merriman Samar Benhusen D0082061Mesarwi Omar Abdul-Wahab D0074767Mesdaghinia Sepehr D0078014Messer Kurt James D0079028Metcalf John Stevenson D0079943Meyer Jerry Francis D0033930Meyer Jill Susan D0042340Mhlanga Joyce C D0076313Michael Amanda Grace D0079066Michael Heather Christina D0080537Michaud Paul Matthew D0072686Michell Antonio Tyrone D0036953Michli Eddie Edik D0067773Midthun Karen D0027765Migeon Claude J D0020210Mihalick Ann Louise D0050538Mikhail Adel N D0013659Mikhail Peter Bishoy D0074078Milad David Ramez H0076948Miles Rosalyn Patrice D0035636Millan Carlos A D0016156Millan Juan C D0017069Miller Benjamin Joshua H0070947Miller Carl Norman D0068766Miller Donald Mark D0077780Miller Jacqueline Joy D0044901Miller Jeffery Lynn D0063489Miller Kristen Nicole D0072183Miller Laurence H D0006413Miller Leslie D0068015Miller Marilea Kay D0035141Miller Meredith Halks D0068586Miller Michael F. D0036056Miller Jr Paul Elliott D0079556Mills Reversa Renee D0075961Milman Steven D0068916Milojevic Ivana D0080605Milosevic Igor D0073385Minarcik Jr. John Robert D0068656Minasso Jacqueline YaaOwusua D0082478Minhas Ruby D0081365Minkowski John S D0023417Minn Matthew John D0077863

Data compiled 10/5/17.For the most up-to-date information regarding a practitioner, please visit the Practitioner Profile

at www.mbp.state.md.us/bpqapp.

Page 6: Maryland Board of Physicians Non-Renewed Physicians … · Mascarenhas Vilma Carmen D0050932 Data compiled 10/5/17. ... Moya Mario D0066857 Mozayeni Cyrus David D0068519 Muangman

Non-Renewed Physicians whose License Expired 9/30/17Maryland Board of Physicians

Minniti Caterina p D0034350Minta Anna Akua D0074557Mir Saira D0078621Mirmow Dwight Paul D0073122Mirza Muhammad Asad D0059337Mirza Yusra D0082863Misalati Sana D0064372Mishra Abha D0069037Miskimon Matthew D0080652Mitchell Blaine Parrish H0077682Mitchell Charles Herbert D0073824Mitchell Jason Wayne D0073631Mitchell John Stephen D0046552Mitchell Michael James D0076260Mittal Vimal D0076259Mkpolulu Chiedozie Anthony D0079507Mlanao Rachel Allison D0078316Moawad Fouad Joseph D0079219Modi Sneha Jayeshbhai D0075774Moeinolmolki Babak D0063791Moen Robert Charles D0040846Moeslein Fred Martin D0067737Mohammad Riyazuddin Firas D0078165Mohan Ravi D0069567Mohanty Bibhu Datta D0077771Mohapatra Avani D0079311Moise Bonard D0046278Moktader Mehwish H0079263Molai Indira Elizabeth D0068323Molena Daniela D0072923Molina Joseph Marion D0075280Momeni Arash Keshmiri D0071410Momiy Janneth Paola D0076408Mompremier Sanders D0064293Mondzac Allen M D0007390Monias Michael D0007267Moody Eric Jackson D0034213Moore Julia F. Tybor D0014717Moore Philip H D0012957Moore III Willlard Anson D0078837Moran James George H0056280Mordkin Robert Mark D0054160Moreno-Rosero Lisa Belinda D0082781Morgan Courtney Ricardo D0076417Morgan Michael D0080908Morin Cara Elizabeth D0079599Morin Nicholas Paul D0078489Morison Warwick L D0026335Morris Deborah D0031364Morris Elsie C D0020859

Data compiled 10/5/17.For the most up-to-date information regarding a practitioner, please visit the Practitioner Profile

at www.mbp.state.md.us/bpqapp.

Page 7: Maryland Board of Physicians Non-Renewed Physicians … · Mascarenhas Vilma Carmen D0050932 Data compiled 10/5/17. ... Moya Mario D0066857 Mozayeni Cyrus David D0068519 Muangman

Non-Renewed Physicians whose License Expired 9/30/17Maryland Board of Physicians

Morris Michael Gregory D0081372Morris Terri Phipps D0036606Morton Jr Terrence Dewitt D0080574Moseley Elizabeth D0071198Moseley III Harley S. L. D0063060Moser Jr. Richard P D0019621Mosley Jr. Edward L D0021954Mosquera Alejandro Raul D0073120Moss Jonathan David D0075192Moss Morton L D0016803Mossey Mark William D0067734Mostofi Navid D0065670Moul Judd Wendell D0035428Mould Thomas M D0015392Mourilhe-Mcentire Patricia D0066761Mourtzanakis Taky Efstratios D D0008307Movassaghi Babak D0071862Moya Mario D0066857Mozayeni Cyrus David D0068519Muangman Scott Pongsa-Pyn D0075182Mullan Fitzhugh S M D0034668Mullany Lawrence D. D0082511Muller Ryan David D0079255Mullick Umesh C D0008357Mumford Laura M D0018410Muncie Jr. Herbert L D0014622Muneses Silvino B D0007309Mungara Sai Siva Jyothi Kiranmai D0081238Murdaian Sylva D0080174Murdock Cristina Colmenares D0080486Murphy Patrick A D0013688Murray Sarah Marie D0078704Murrell Jr. William Delany D0060932Murrish Geoffrey Morgan D0072159Mushrif Sujata Kishnor D0081636Muthiah Jr. Annamalai D0062747Muyderman Joshua D0069874Muzaffar Nida D0082282Myers Ian Neal D0057266Myers Mark A D0032235Myers Michael Glenn D0061636Myles Otha D0055585Myzak Melinda Cherie D0075772Nadel Jennifer Lee D0079525Nadkarny Uday Ramdas D0051410Nadler David Lee D0080688Naeem Mehmooda D0064578Nagpal Rubjit Kaur D0082262Nagy David James D0063964Naidu Sathyabama Ramasamy D0071068

Data compiled 10/5/17.For the most up-to-date information regarding a practitioner, please visit the Practitioner Profile

at www.mbp.state.md.us/bpqapp.

Page 8: Maryland Board of Physicians Non-Renewed Physicians … · Mascarenhas Vilma Carmen D0050932 Data compiled 10/5/17. ... Moya Mario D0066857 Mozayeni Cyrus David D0068519 Muangman

Non-Renewed Physicians whose License Expired 9/30/17Maryland Board of Physicians

Naig Sumit Rajagopal D0082243Nair Prasanna D0008177Nair Prem Krishnan Kutty D0077710Nair Vijayachandra S D0016444Najera Leodegario A D0012864Nakajima Mark Yuji D0077503Nakamoto Rona Keiko D0043826Nakhla Shady RIA D0081667Nakhleh Bashar D0038354Nambiar Ashwin D0077281Nanavati Ashwin Laxmirai D0027565Nanavati Kalpana Ashwin D0035720Nandan Raghu D0082356Nangiana Jasvinder Singh D0079807Narayan Anand Kumar D0075339Narayan Mayur D0068652Narola Ajay Gordhanbhai D0075848Narvaez Yizza Iveth D0079565Nash Jr. Daniel A D0020752Nasseri Darioush D0026027Natarajan Balakrishnan D0073944Nath Dilip Sri D0071587Natoli Karen Renee D0079616Naumann Walter K D0025759Naumburg Eric G D0030320Nauschuetz Karen Kimbrell D0076957Nawa John Charles D0070734Nazarian Saman D0065970Nazemian Jafar D0009162Neaderthal Robert Lee D0073828Neeman Ziv D0060740Neibel-Pondek Sharon Ellen D0038038Nelkovski Lidia D0078270Nellan Anandani D0076233Nellore Anoma D0076799Nelson Delphine R D0072365Nelson Evan Aron D0079332Nelson Jennifer Megan H0073463Nelson Noele Paige D0073450Nelson Paula M. D0071962Nelson Tracy Dawn D0073724Neveldine Thomas James H0066479NEVIASER ROBERT JON D0029593Nevrekar Dipti Venkatesh D0078824Newman Michael A D0013352Newman Nathan Paul D0078894Newton Diane Ruth D0072938Neyman Edward Gregory D0055784Ng Erina Meemei D0078339Ng Su Ann D0076549

Data compiled 10/5/17.For the most up-to-date information regarding a practitioner, please visit the Practitioner Profile

at www.mbp.state.md.us/bpqapp.

Page 9: Maryland Board of Physicians Non-Renewed Physicians … · Mascarenhas Vilma Carmen D0050932 Data compiled 10/5/17. ... Moya Mario D0066857 Mozayeni Cyrus David D0068519 Muangman

Non-Renewed Physicians whose License Expired 9/30/17Maryland Board of Physicians

Nguyen Dongchau D0062364Nguyen Khanghy Duy H0073114Nguyen Mai-Chi Thi D0036845Nguyen Nang T. D0073263Nguyen Quan C D0030154Nicholas Kathryn Cannada D0076167Nicholas Michael John D0068429Nielson Kyle Pratt D0068079Nieporent Cosette D0021331Nii-Moi Ebenezer Akai D0073783Nijim Shadi Wasef D0077177Ninalowo Hammed Abidemi D0075470Nino Barrera Gustavo Rodolfo D0079044Nizamani Rabia D0079469Nketiah Emmanuel Obeng D0081764Noble Raymon A D0017324Noe Paula Michelle D0072531Noon Eleanor L D0008743Noone Paul Taylor D0007471Noor Bindu D0046494Norconk Jr. James Joseph D0061524Norden Richard Alan D0080825Norris Craig DeWayne D0082616Norsoph Ellis Bradley D0032149Northcutt Benjamin Gordon D0073530Notes David Raymond D0008479Novin Neil D0007596Nriagu Uzoma Vivian D0074857Nudelman Irwin J D0007580Nunez Susan Balite D0042877Nunez Gonzalez Joel Radhames D0081733Nussenblatt Robert B D0024799Nutini Marykatharine H0068643Nutini Jr. Dennis Neil D0068644Nwosu Sunday Chikwado D0026852Nyindem Lum Ntumngia D0078364O'Bannon Latinovic Ashley B. D0070335Obenshain Wallace Bruce D0035779Obi Nwamaka Obiageli D0082501O'Brien Katherine Louise D0042847O'Brien Walter Meyer D0078857Obuchowski Abraham Michael D0053555O'Byrne Mariko Mui D0080548O'Byrne Michael Liam D0079852O'Connell Jerome T D0007611O'Connell Jr. Jerome Thomas D0058140O'Connor Anne Marie D0076112O'Connor Kevin Michael D0061522O'Connor Kevin Paul D0078731O'Connor Matthew Crosby D0077071

Data compiled 10/5/17.For the most up-to-date information regarding a practitioner, please visit the Practitioner Profile

at www.mbp.state.md.us/bpqapp.

Page 10: Maryland Board of Physicians Non-Renewed Physicians … · Mascarenhas Vilma Carmen D0050932 Data compiled 10/5/17. ... Moya Mario D0066857 Mozayeni Cyrus David D0068519 Muangman

Non-Renewed Physicians whose License Expired 9/30/17Maryland Board of Physicians

O'Croinin Proinnsias D0003022O'Daly Baquero Andres Eduardo D0075524Odunmbaku Abisola D0079440Oduyebo Ibironke D0069364Odyniec Norman A D0016378OGNIBENE FREDERICK PETER D0029623Oh Christine Misun D0069213Oh Sun W D0020653O'Halloran Kevin Patrick D0077843O'Hara Martin James D0052682Ohliger Shelley Jean D0072136Ojalvo Laureen D0077535Ok John Young D0072405Okafor Emmanuel Chujekwu D0081119Okoye Ngozika Chinazom D0080291Okwuosa Ike Stanley D0077698Olakanpo Olusoji Derek D0076470Oliveira Celia Regina D0082609Olivera Elizabeth Kay D0037695Olivieri William Peter D0061114Ollivierre Agard Rachael Veronique D0083101Olmos-Lau Nick D0019084Olsson Pamela Nicholson D0078005O'Malley Bert W D0012320Oneese Justin D0079439O'Neill Barbara Lyn D0039684O'Neill John F D0009712O'Neill Meghan Elizabeth D0075580Ong Albert D0062856Onyiah Comfort Chinazom D0071839Orden Roy Anthony D0077347Orgeron Gabriela Molina D0080983Origlieri Catherine Ann D0075530O'Riordan Declan Patrick D0056876Oristaglio Robert Peter H0061246Orland Michael David D0076110Orsi Michael Dana D0068608Ortega Robert D0071062Orth Reid D0080482Ortiz Julio Armando D0073243Ortiz Luis Enrique D0078059Orzechowski Kelly Marie D0079714Osborne-Wu Jewel Bynoe D0080145Osei-Wusu Achaw D0024089Oseroff Charles J D0032707Osmun Scott Andrew Kennedy D0066343Ostrow Lawrence David D0036240Osuntokun Olaniyi Oladotun D0062060Ottenritter Robert Edgar D0031272OTULANA BABATUNDE ADEKUNLE D0048315

Data compiled 10/5/17.For the most up-to-date information regarding a practitioner, please visit the Practitioner Profile

at www.mbp.state.md.us/bpqapp.

Page 11: Maryland Board of Physicians Non-Renewed Physicians … · Mascarenhas Vilma Carmen D0050932 Data compiled 10/5/17. ... Moya Mario D0066857 Mozayeni Cyrus David D0068519 Muangman

Non-Renewed Physicians whose License Expired 9/30/17Maryland Board of Physicians

Oufiero Lawrence A D0019924Oung Irene D0021103Ouyang Wei D0079090Owens Leroy Anthony D0030129Owusu-Ansah Sylvia D0068790Oyekoya Adebola Iretiola D0079650Oyetunji Shakirat Omolara D0076232Padover Alyssa Rachel D0082118Paglinauan Wilhelmina D0015021Pajaro Octavio Enrique D0050921Paka Chandhana D0075900Pal Joshua Sameer D0073644Palac Susan Mary D0077925Paladinetti Terry L D0076883Palchaudhuri Sonali D0081795Palestine Roberta F D0027831Paley Anna H0079585Paley Dror D0034251PALMER JEFFREY BRUCE D0029759Palmisano Jr. Frank Samuel D0009475Pan Jenny Han D0073933Panagakos Jean D0023492Panagos Patoula D0081224Pandalai Prakash D0073419Pandove Sandeep D0048244Pandya Dhyanesh C. D0080695Pandya Pooja Ganesh D0084081Pane Gregg Anthony D0073849Papangelou Alexander D0062826Papier Kenneth H0055829Parab Minoti Vilas D0080394Parai Jacqueline Louise D0054134Parajon Laura Chanchien D0055126Parekh Parag Dhirajlal D0066703Pargeon Kimberly Lynn D0076166Parikh Nirav D0082173Paris Scot David D0066496Park Chan J D0019626Park Christopher William D0075292Park Donald Duk-Sang D0072456Park Jin Hyuk D0071508Park Jong Chul D0076801Park Stephen Joseph D0082067Parnes Carole A D0016809Parr Kathleen Gage D0055959Parrish Clarissa Lawanda D0060986Parrish Scott Charles D0074833Parsons Terry Eugene D0081793Partyka Catherine Mary D0052144Paskert James P D0031664

Data compiled 10/5/17.For the most up-to-date information regarding a practitioner, please visit the Practitioner Profile

at www.mbp.state.md.us/bpqapp.

Page 12: Maryland Board of Physicians Non-Renewed Physicians … · Mascarenhas Vilma Carmen D0050932 Data compiled 10/5/17. ... Moya Mario D0066857 Mozayeni Cyrus David D0068519 Muangman

Non-Renewed Physicians whose License Expired 9/30/17Maryland Board of Physicians

Pasley Amelia Marie H0079792Pataki Kenneth I D0039608Patel Hiren Rohit D0082631Patel Mahendra Chimanbhai D0044389Patel Milan Ravindra D0080892Patel Nishant Dinesh D0078459Patel Pragna B D0024095Patel Rafiq K D0018629Patel Sanjay Shashikant D0079479Patel Tarak Harikrishna D0071534Pathmanathan Sivakolunthunathan D0024983Patibandla Gopi Krishna D0077243Patil Pooja D0080481Patrice Kelly-Ann Andrea D0083314Patro Phalgunee D0078320Patterson Timothy James D0033424Patyrak Michael Edward D0081740Paul Geet D0083418Paul Jr. Henry D0066802Pauldine Ronald William D0044849Pawlik Timothy Michael D0063560Paxson Jessica Edith D0058576Payne Eugenia D0081558Payne John C D0009988Pearl Robert Mark D0070160Pearre Jr. A Austin D0009689Pearson Virginia Elaine D0082299Pectasides Melina D0078792Pedicano Jennifer Bischoff D0070133Peebles Paul T D0019960Peet Denise Lynn D0054500Peethumnongsin Erica Sopah D0079604PEIPON JAMES JOHN D0028261Peisner David Balfour D0072661Pelczar Andrew Joseph D0077250Penagaluri Ashritha D0080479Penny Robert James D0080934Perez Courtney Maria Graha D0053327Perkins Delbert Lee D0021925Permut Todd Andrew D0080432Perry Mark Donald D0075459Perry Maurice Clive D0056743Peterlin Barbara Lee H0070713Petersen Julie Catherine H0081197Peterson Daniel Albin D0072729Peterson Richard Edward D0059072Petrie Matthew Shane D0072126Petro Kathleen Roslyn D0056845Petteys Rory James D0074807Pettit Clint Spenser D0079721

Data compiled 10/5/17.For the most up-to-date information regarding a practitioner, please visit the Practitioner Profile

at www.mbp.state.md.us/bpqapp.

Page 13: Maryland Board of Physicians Non-Renewed Physicians … · Mascarenhas Vilma Carmen D0050932 Data compiled 10/5/17. ... Moya Mario D0066857 Mozayeni Cyrus David D0068519 Muangman

Non-Renewed Physicians whose License Expired 9/30/17Maryland Board of Physicians

Pfefferle Kiel Johansen D0079138Pham Don Minh D0081413Phan Giao Quynhthi D0056250Philbrook Kenneth D0009724Phillips Lawrence V D0010619Phillips Jr. Robert Melvin D0072425Phillips-Seitz Barbara Joanne D0015191Picard Daniel Louis D0045507Pickett Christopher Allan D0068435Pierce Jr. Leslie H D0015296Pifalo W Bradley D0027561Pillai Sasikala D0021117Pineda Miguel Angel D0079043Pinkert Hans Wolfgang D0071150Pinkus Harry Eli D0076833Piracha Abdul Rashid D0081896Pirovolidis Diomidis L D0009574Pittman Meredith Ellen D0079495Plante Timothy Blake D0077388Plosker Harvey D0078446Pogue William H D0012676Pohlmann Paula Raffin D0077088Polavarapu Sruthi Ratna D0077402Polly Jr. David Wayne D0035153Pongas Georgios D0081652Poon David D0077549Poon Edward Kungming D0075720Pope Kayla Marie D0066367Pope Stephanie Laura D0082651Porter Robert Patrick D0075086Porter Thos Jenks D0012950Poruk Katherine E D0077289Post Miranda Lynn D0078680Potakamuri Lakshmi Narayana D0070674Potnick Aaron Gregory D0078170Powell Kerry Alexander D0053221Powell Thomas Hooker D0013006Powers Kate Elizabeth H0078374Prabhakar Priya Darshini D0064317Prakash Siddharth D0072947Prater Christopher William D0076872Premkumar Ahalya D0065070Prescott Theresa Ann H0080436Pressey Carol A D0025134Pretorius Eugene Scott D0054466Prevas Susan Vester D0028139Prewitt Kerry Clement D0057329PRICE MICHAEL BARNET D0029204Priebat Dennis A D0020804Probst Joseph John D0075191

Data compiled 10/5/17.For the most up-to-date information regarding a practitioner, please visit the Practitioner Profile

at www.mbp.state.md.us/bpqapp.

Page 14: Maryland Board of Physicians Non-Renewed Physicians … · Mascarenhas Vilma Carmen D0050932 Data compiled 10/5/17. ... Moya Mario D0066857 Mozayeni Cyrus David D0068519 Muangman

Non-Renewed Physicians whose License Expired 9/30/17Maryland Board of Physicians

Proscia Nicole D0070350Pross Seth Elliot D0079020Pruna Chuck Guerrero H0078697Pudpud Abigail Aurie Remo H0080636Puliaiev Maksym D0082990Pulitzer Donald Richard D0061278Pullarkat Ranjit Raju D0081824Pumroy Keith Spence D0041937Pupkin Marcos J D0026615Puppala Neha D0072777Puri Mohammad Muneeb D0074204Purvin Michael Adam D0076831Pusin Sharon M D0012667Pyatt Jr. Robert S D0023513Pychynski Dagmara Marta D0077657Pyclik Kristina Luise Eberhardy D0081264Qamer Syed Ali D0080493Qasim Zaffer Ahmed D0080478Qazi Nadeem Gul D0069099Qian Jiaying D0075984Quaddoura Amer Ahmad D0057840Quartner Jeffrey L D0021126Quartner Sandra D D0019922Quartuccio Michael William D0076126Quinones Mercedes Ericka D0069752Quintas John D0075602Quraishi Sadeq Ali D0068546Qureshi Muhammad D0082630Raben Adam D0062192Raber Michael Robert D0081569Racusen Lorraine Claire D0030875Rade Jeffrey James D0043767Radford John Charles D0080231Radhakrishnan Archana D0077198Radley Mary Elizabeth D0076609Radley Michael D0045936Radomski Michal D0076228Raffel Gary Elliot H0045839Raffoul Melanie D0078315Raghavan Pooja D0075561Raghavan Rahul Veera D0081008Rahman Rukhsana Khatoon D0026173Rahmani Shervin D0054140Rahulan Vijil Komanthakkal D0081326Raines Edwin Allen D0064226Raiti Salvatore D0012753Raja Bhuvana D0066271Raja Shreya Mukund D0073132Rajagopalan Sanjay D0077012Rajan Dhyan Perumal D0079607

Data compiled 10/5/17.For the most up-to-date information regarding a practitioner, please visit the Practitioner Profile

at www.mbp.state.md.us/bpqapp.

Page 15: Maryland Board of Physicians Non-Renewed Physicians … · Mascarenhas Vilma Carmen D0050932 Data compiled 10/5/17. ... Moya Mario D0066857 Mozayeni Cyrus David D0068519 Muangman

Non-Renewed Physicians whose License Expired 9/30/17Maryland Board of Physicians

Raman Siva P. D0072707Ramerth Teresa Stathas D0074166Ramesh Shanti D0035082Ramharack Jonathan Bisram D0080597Ramirez Christine Lin D0082297Ramnitz Mary Scott D0074226Ramos Emilio D0015674Ramsey Andrew Michael D0081577Rana Abid Iqbal D0076967Rana Jamal Ahmad D0078667Randall Milton Barry D0064198Ranganath Halemane S D0015683Ranjan Surabhi D0080025Rao Anupama Kumar D0073276Rao Devaguptapu B. D0060662Rao Gurubhagavatula R D0017004Rao Kusuma C D0019272Rao Luigi Kuo Feng D0080939Rao Prabhavathi D0076056Rao Sanjai Chamkur H0077260Rapaport Seymour A D0016671Raparla Sandeep D0080732Rascher James J D0011944Rashidzada Wahid D0071503Raskin Richard J D0026763Raskin Russell Wayne D0068513Rasmussen Lindsey Kristin D0076037Rastogi Abhijeet D0068069Ratcliff David Hood D0035040Rathgeb John Michael D0043263Ratner Robert Edward D0045366Rausch Paul G D0014626Rauth Jr. John Donald D0048028Raval Sheetal Shah D0075535Ray Shubhra D0067358Raziano Donna Brady D0062618Reahl Jr. G Edward D0013953Rearick Timothy Jerad D0079649Reba Richard C D0009038Rebolledo Michael Anthony D0079858Reddy Abhiram N D0073960Reddy Vinitha D0079250Reddy Vivek Kotha D0068594Reder Edward Arthur D0052619Redington Kathleen Marie D0045534Redman Jason Mark D0081500Reed Gerald M H0016396Reedy Edward Adison D0055313Reese Vicki D0043830Reese Jr. James Jay D0072119

Data compiled 10/5/17.For the most up-to-date information regarding a practitioner, please visit the Practitioner Profile

at www.mbp.state.md.us/bpqapp.

Page 16: Maryland Board of Physicians Non-Renewed Physicians … · Mascarenhas Vilma Carmen D0050932 Data compiled 10/5/17. ... Moya Mario D0066857 Mozayeni Cyrus David D0068519 Muangman

Non-Renewed Physicians whose License Expired 9/30/17Maryland Board of Physicians

Regelin Cedric Corey D0071853Rehman Munazza Najeeb D0062227Rehmatulla Abdulahad Asif D0078383Reid Hollis C. D0057060Reid III Thomas Joseph D0071935Reiner Samuel Michael D0045316Rekhtman Yuliya D0063257Reller Megan Elizabeth D0066545Remedios-Smith Kimberly Grace D0078130Remick Jason Anthony H0080954Remy Lindsay Feather D0081204Renzulli Beth Anne D0060425Resch Thomas Robert D0076855Restak Richard M D0015278Reutter Richard Allen D0080328Reyes Carolyn D0080996Reyes David Garcia D0072561REYES VILLAMOR SANTOS D0029671Reyes Jr. Telesforo D0014816Reyes-Dollete Fe T D0015809Reynolds Gary Irving D0041114Reznick Steven Michael D0025749Rhee Richard Jinho D0073107Rhodes Jr. Donald Richard D0054701Rhodin Thor Robert D0080994RIAR JEHAN D0079817Richards Donna Roxanne D0074663Richards John Steuart D0074877Richardson Douglas S D0025805Richardson Jeffrey Michael D0036430Richardson Michael J D0015910Richie Emily Leach D0037049Richman Joseph H D0011798Richman Seth Hayden D0081257Richmon Jeremy David D0067414Richter Donald R D0030035Rickard John Walter D0074522Rideman Eric David H0078717Riggs Kevin Robert D0075489Rinaldo Jean Elizabeth D0047117Riney Jr Thomas David D0080475Rishi Mazhar D0036400Rivera Ernesto D0018554Rivera Hector Luis D0071740Rivera Michelle Antonia D0033821Rivera Hernandez Wilmarie D0080765Rivers Michael B D0045307Rivers Jr. James L D0013077Rizal Abishek Raj D0073847Rizvi Fareeda N D0031967

Data compiled 10/5/17.For the most up-to-date information regarding a practitioner, please visit the Practitioner Profile

at www.mbp.state.md.us/bpqapp.

Page 17: Maryland Board of Physicians Non-Renewed Physicians … · Mascarenhas Vilma Carmen D0050932 Data compiled 10/5/17. ... Moya Mario D0066857 Mozayeni Cyrus David D0068519 Muangman

Non-Renewed Physicians whose License Expired 9/30/17Maryland Board of Physicians

Roache John W D0015027Roberts Charles Arthur D0069123Roberts Paul E D0009735ROBERTS ROSEMARY D0029587Robertson Scott Andrew D0077115Robin Deborah Wallace D0080620Robinson Douglas Hill D0051952Robinson Luke D0080566Robinson Paul Christopher H0070360Robison Kelvin Duane D0080781Robson Martin C D0008762Roche Jeffrey C D0021409Rockswold Paul Dean D0037378Rodrigo Joseph Angel H0079212Rodriguez-Oquendo Annabelle D0038621Roessler James L D0020488Rogers Francesca Maria D0065196Rogers Jonathan Matthew D0065389ROGERS WILLIAM HERMAN D0028283Roig Ramon F D0013176Roloff Christine Ann D0074720Romagnoli Anna Noel D0081656Roman Manuel W D0009630Romito Roseann D0045589Romness David William D0079374Ronan Jr. James A D0016540Roop Stuart Allen D0078098Ropp Alan Matthew D0079202Rose Gregory Hugh D0067070Rosen Paul D0081887Rosenberg Gary L D0015364Rosenberger Eugene A D0009870Rosenbloom Alan John D0028438Rosenzweig Martin Herbert D0065356Roskin Gerald D0075739Roskin Joan Kogel D0075738Ross Gary Edward H0072241Ross Karlene Vanessa D0066434Rost Deborah Benedict D0051889Rostad Steven Wayne D0078298Rostami Nahid D0075279Rostkowski Amanda Beth D0077231Rothschild Andrew Sloane D0059382Rothstein Ted Laurence D0060982Rottem Menachem D0039347Roubein Daniel Richard D0066823Rout Preeti D0072850Rowekamp Barry Lewis H0050215Rubin Bernard D0022115Rubin Lewis J D0032551

Data compiled 10/5/17.For the most up-to-date information regarding a practitioner, please visit the Practitioner Profile

at www.mbp.state.md.us/bpqapp.

Page 18: Maryland Board of Physicians Non-Renewed Physicians … · Mascarenhas Vilma Carmen D0050932 Data compiled 10/5/17. ... Moya Mario D0066857 Mozayeni Cyrus David D0068519 Muangman

Non-Renewed Physicians whose License Expired 9/30/17Maryland Board of Physicians

Rubinsak Lisa Ann D0082079Rubinstein Mark Isaac D0076038Ruch Charles Edward D0012100Ruch Nathanael Geoffrey D0079217Ruddy John Robert D0063965Rudny Kevin Peter D0075694Rueda Mario D0077987Ruff Elizabeth M D0016213Ruiz Margaret Eileen D0051034Runde Joseph Michael H0081898Rusche Edward D0009682Rusher Oxana V D0075723Rushing Erica Childs D0075282Rusley Jack Colin D0077481Russell Stuart Dean D0061810Russell William B D0013586Russo Barbara Ann D0069111Russo Matthew William D0081329Rustgi Vinod Kumar D0058286Ruth Leigh Joanne D0078406Ruth Jr. John A D0038499Rutz JR Joseph Alexander D0082625Ryan Courtney Katherine D0065437Ryan Liam Patrick D0078784Ryu Jaewon D0069665Saad Sherif Saad D0079054Saberi Behnam D0078196Sabichi Anita Lyn D0040340Sabir Aisha D0065198Sachs Leora B D0027229Sadeghi Nader D0079029Sadeghpour Mona D0081467Sadiq Rizwan D0070390Sadiq Sobia D0079921Saeed Sadia D0083538Safdar Nabile Muhammad D0061526Safdar Syed Atif D0082007Sageman Marc Samuel D0064356Saia John S D0010493Saidinejad Mohsen D0073330Saini Ruchika D0076727Sakowski Christopher Michael D0081769Salahuddin Farah Fatima D0074210Salari Behnam H0071990Salas Alan D0075890Salazar Osuna Jose Humberto D0074883Saleem Bushra D0074183Saleh Andrew Nabil D0077579Saleh Fareed Reza D0078347Salem Catherine L D0042586

Data compiled 10/5/17.For the most up-to-date information regarding a practitioner, please visit the Practitioner Profile

at www.mbp.state.md.us/bpqapp.

Page 19: Maryland Board of Physicians Non-Renewed Physicians … · Mascarenhas Vilma Carmen D0050932 Data compiled 10/5/17. ... Moya Mario D0066857 Mozayeni Cyrus David D0068519 Muangman

Non-Renewed Physicians whose License Expired 9/30/17Maryland Board of Physicians

Salem Mohamed Elsayed Ahmed D0078795Salemi Parissa H0070101Saliaris Anastasios P. D0060453Saliba Zeina D0078326Salinger David J D0043535Samad Adil Abdus D0080962Samman George D0018097Sanborn George Edward D0078200Sanchez Katya Maria D0072599Sanchez Pablo Gerardo D0048414Sanders Devin Douglas D0062387Sanders Leslie E D0009878Sandifer Kum-Nji Juliette Laginger D0076652Sandoval Monica M. D0075129Sands Noah Benjamin D0080968Sandy Natasha Agnes D0071050Sanghavi Premal C. D0065077Sani Shahram Norouzi D0062473Sanikommu Sudheer D0069737Sankaran Kumaresan D0052833Santangelo James Richard D0042463Santos Cesar Cruz D0075979Santosham Mathuram M D0017112Santos-Zabala Maria Laureana C. D0080544Sarabchi Fardad D0072912Sardar Muhammad Rizwan D0080496Sarma Satya D0071054Sarvis Astrid Butts D0077543Sass Erik James D0079317Sass Margaret Therese D0079621Sateriale Mark D0045885Saurborn Daniel Paul D0071771Savala Jr. Jess D0073091Savoie Brent Vernon D0073312Savoie Corliss Vogt D0071116Sayadipour Amirali D0077794Scanelli III John Anthony D0076467Scarzella Sr. Giulio I D0010300Scavo Louis Michael D0057853Schaeffer Edward Matthew D0065623Schaner Susan M D0024395Scharko Alexander Michael D0058020Schatz Stephen Michael D0069612Scheib Stacey Ann D0074401Schellhase Stephen Carl D0056490Scherle Gregory Allen D0080292Schettino Chris D0077974Schickler William John D0060062Schildt Travis Allen Eugene D0075589Schilling Lee H D0011094

Data compiled 10/5/17.For the most up-to-date information regarding a practitioner, please visit the Practitioner Profile

at www.mbp.state.md.us/bpqapp.

Page 20: Maryland Board of Physicians Non-Renewed Physicians … · Mascarenhas Vilma Carmen D0050932 Data compiled 10/5/17. ... Moya Mario D0066857 Mozayeni Cyrus David D0068519 Muangman

Non-Renewed Physicians whose License Expired 9/30/17Maryland Board of Physicians

Schillinger David Scott D0071543Schlesinger David Scott D0077277Schlosser Michelle Lorraine D0069914Schmidt Gary Louis D0071487Schnapp Jerome J D0014440Schneider Irving D0011533Schneider Jean Elizabeth D0082363Schneider Marta Anne D0026331Schoedel Christianne D0047565Scholl Hendrik Peter D0048402Scholten Eric Robert D0081302Scholz Stefan D0067896Schottland John Robert D0061352Schroeder Mary Elizabeth D0072244Schuelein Marianne I D0009045Schultz Daniel Charles H0078492Schumpert Terence Duran D0076786Schuster Marvin M D0009924Schwartz Joel Marc D0036216Schwartz Marcia F. D0029913Schwartz William E D0013152Scordino David James D0075693Scribner Curtis Lee D0032201Scurry Peggy J B D0024366Scurry Jr. Dennis D0021168Sechrist III Jacob William D0080564Seeyave Desiree Michelle D0077885Sehgal Manu D0063340Seigel Rebecca Lynn D0056136Seigle Juliet M. D0036184Sela Raanan D0074822Selassie Daniel Haile D0082022Selss Ira F D0031645Semaan Husam Basili D0056207Semakula Barbara Nabatanzi D0078124Semba Richard David D0035251Sensenbrenner Judith A L D0010730Seo ChangJin D0075455Seo Suna D0077988Sereni Christopher Philip D0081100Seshamani Meena D0079954Sevilla Manuel J D0018099SHABAIK AHMED S D0028346Shabani- Ardali Alireza D0076274Shady Magdy S. D0031231Shaer Catherine D0026467Shaffer Ian Arnold D0044023Shaffer Kathleen Laurell D0062689SHAFIEI MOHAMMAD D0028932Shah Ajit D0034428

Data compiled 10/5/17.For the most up-to-date information regarding a practitioner, please visit the Practitioner Profile

at www.mbp.state.md.us/bpqapp.

Page 21: Maryland Board of Physicians Non-Renewed Physicians … · Mascarenhas Vilma Carmen D0050932 Data compiled 10/5/17. ... Moya Mario D0066857 Mozayeni Cyrus David D0068519 Muangman

Non-Renewed Physicians whose License Expired 9/30/17Maryland Board of Physicians

Shah Anjuli Atul D0075913Shah Ashish Suresh D0063434Shah Ila V D0015031Shah Jay D0079605Shah Jayesh Babubhai D0077508Shah Kamini Tulsidas D0077637Shah Nadia D0064923Shah Radhika Mayank D0080013Shah Satyam Ashvinkumar D0068096Shah Shivani Manoj D0079253Shah Sunjay Arvind D0057797Shah Udayan B D0025522Shah Umang Arun D0071411Shahid Adeel D0075992Shahin Mohamed Amr A. D0073214Shaikh Harris D0078019Shaikh Mohammad Ali D0033935Shaikh Sana D0078207Shakir Eunice Fronie D0036506Shamim Noman D0078817Shan Hua D0053778Shan Tai-Chi D0045187Shanaghan Kevin John H0060989Shanahan Ryan D0075127Shanavas Tharackandathil O. D0074026Shankman Sidney D0013486Shannon Steven Ralph D0034241Shapiro Alan David D0075392Shapiro Alla D0056326Shapiro Melvyn F D0010302Sharashenidze David D0077302Shargel Martin C D0008944Sharma Manisha Arjuna D0076689Sharma Meera D0022636Sharma Prakash Punj D0077679Sharma Purva Dogra D0074247Sharma Rama D0080236Sharma Saumya D0072228Sharma Seema D0068049Sharnick Stephen Vincent D0077946Sharon Jeffrey Daniel D0078403Shaw Corey Ammon H0075619Shaw Maren Golding D0070481Shaw Jr. Robert D0015259Shea Eric Lik Yin H0080735Shearer Patricia Carol D0072458Shediac Caesar Camille D0033072Sheela Sheenu D0071912Shefchek Ardele Galante D0026489Sheff Robert N D0011950

Data compiled 10/5/17.For the most up-to-date information regarding a practitioner, please visit the Practitioner Profile

at www.mbp.state.md.us/bpqapp.

Page 22: Maryland Board of Physicians Non-Renewed Physicians … · Mascarenhas Vilma Carmen D0050932 Data compiled 10/5/17. ... Moya Mario D0066857 Mozayeni Cyrus David D0068519 Muangman

Non-Renewed Physicians whose License Expired 9/30/17Maryland Board of Physicians

Shehadah Amjad D0082157Shelton James D D0015661Shematek Jon Paul D0018828Shen Liang D0080271Shenoy Suratkal Vaman D0026300Sheridan Valerie Lynn H0077394Sherins Richard Julius D0047126Sherman Evan Scott D0078047Sherman Mark Elliot D0038697Sherman Nicholas Ryan D0080512Sheth Gaurang Surendralal D0082091Shevach Ethan Menahem D0034235Shewan Anne Margaret D0046481Shibeika Dalia D0079327Shieh Charles D0078749Shields Rebecca Ann D0079131Shih Franklin D0074813Shipley Sarah Heun Jin D0073401Shirali Janhavi Hemant D0081357Shiraz Ahad Ali D0081062Shobab Leila D0083071Shoback B R D0031218Shook Janice Renee D0077234Shook Mary Acquista D0034432Shori Pardeep Kumar H0071802Shrestha Merica D0080609Shroff Mahesh B D0040182Shupeck Malcolm D0067555Shuren Jeffrey Eliot D0054253Shurin Susan B D0064783Shutter Lori Anne D0075438Sicard Carl D0060217Sidana Abhinav D0079729Sidarous Michael Gobran D0045365Siddalingappa Archana Basavanakote D0079187Siddiqui Mona Haider D0072783Sidhu Ajaib S D0013248Sidhu Pushap Preet Kaur D0076006Sidor Malgorzata D0077647Siegfried Sibyl Christine D0080173Sigle Gavin D0073265Sile Cynthia C D0053833Silva Plinio Pereira D0080189Silva Bermudez Juan Jose D0081436Silverman Eugene David D0044435Silverstein Emanuel H D0010206Silvestri Peter Jason H0080501Silvia Kristin Leigh D0065738Simmons Lisa Jackson D0078290Simmons Oliver Pope D0064657

Data compiled 10/5/17.For the most up-to-date information regarding a practitioner, please visit the Practitioner Profile

at www.mbp.state.md.us/bpqapp.

Page 23: Maryland Board of Physicians Non-Renewed Physicians … · Mascarenhas Vilma Carmen D0050932 Data compiled 10/5/17. ... Moya Mario D0066857 Mozayeni Cyrus David D0068519 Muangman

Non-Renewed Physicians whose License Expired 9/30/17Maryland Board of Physicians

Sina Bahram D0010173Singanamala Naveen D0078693Singer Jerald Gary D0045479Singh Arun Lakshman D0081387Singh Ashina Deepika D0081249Singh Dalbir D0066791Singh Kirpal K D0014187Singh Mridula D0020467Singh Neeru Bhavneet D0080470Singh Rakhi D0081673Singh Ramesh D0078793Singh Sandhya Kavita V. D0074392Singh Sonal D0068787Sinha Amitasha D0083579Sinno Abdulrahman D0077172Siqueiros Alan D0080547Sirithara Anusha D0026191Sison-Alidio Rosalinda D0014988Sitaras Panayiotis L D0014121Sitts Timothy M D0045744Siwek Jay D0030337Sjogren Jr. Robert William D0045252Skancke Matthew David D0081410Slichenmyer William James D0041472Sloan Todd D0021179Smaglo Brandon George D0076393Smalley Jeremy Curtis D0081653Smith Angela Lantz D0081042Smith Bryan Richard D0072688Smith Christopher L D0061898Smith Conrad Warren D0070551Smith David Michael D0059824Smith Debra A. H0058021Smith Ellen George D0080622Smith Jacqueline Anne D0073975Smith Juanita Lynn D0064413Smith Kathleen Jeanne D0065109Smith Lamont Charles D0052950Smith Robert L D0024858Smith Robert L D0027509Smith Stephen Alan D0013932Smith Steven M H0030779Smith Susan Marie D0074062Smithling Katelyn Rita D0077328Smithson Peter William D0080315Smoot Jr. Roy T D0025530Smothers Kevin Lee D0055791Snashall Jonathan Thomas D0073545Snider Richard L D0017246Snitker Soren D0048420

Data compiled 10/5/17.For the most up-to-date information regarding a practitioner, please visit the Practitioner Profile

at www.mbp.state.md.us/bpqapp.

Page 24: Maryland Board of Physicians Non-Renewed Physicians … · Mascarenhas Vilma Carmen D0050932 Data compiled 10/5/17. ... Moya Mario D0066857 Mozayeni Cyrus David D0068519 Muangman

Non-Renewed Physicians whose License Expired 9/30/17Maryland Board of Physicians

Snowden Cindi Ann D0076361Snyder John David D0066786So Matilda H D0026250Sobel Solomon D0021912Sobhani Nahid B D0021851Sobieraj Elizabeth D0065397Sochet Kristin Starr D0075968Sohail Waqas D0082206Sohrab Mahsa Ava D0077511Sojkova Jitka D0069368Sokolic Robert Alan D0079109Solberg Kim Kilkowski D0041327Soliman Joseph A D0017126Solinas Joseph Maria D0010101Solomon David D0046319Somers William Justin D0040345Somerville Ian Douglas D0014544Sommese Teresa Joy D0033056Somrov Serge D0078660Sonawala Anuj Bharat D0076176Song Young Suk D0076492Soni Lori Kaur D0081630Sonna Larry A. D0043544Sonni Smitha D0076583Sontag Sheila Gail D0039888Sood Poonam D0077644Sood Vibha D0064719Soremekun Olanrewaju Alade D0081012Sorensen Maryanne D0059037Soriano Brian J D0081361Sotoudeh Faranak F D0015374Sowa David T. D0028570Soyer Muharrem Tanju D0040807Spaulding Jacqueline Ann D0058727Spear Leigh Margaret D0079323Specht Charles S D0025535Spector Israel D0011200Speir Alan McBain D0039118Spence Ian J D0012922Spence Robert James D0014265Spinuzza Thomas John D0071553Sponaugle Dale Warren D0043874Spong Catherine Yvonne D0052793Spring Michele Donna D0064385SPURRIER ELLEN ANN D0029969Srinivasan Sharmila D0079835Srinivasan Sheila Yamini D0082370Srivastava Ambika D0078480Srivastava Siddharth D0078669Srivatsan Jayaram D0076331

Data compiled 10/5/17.For the most up-to-date information regarding a practitioner, please visit the Practitioner Profile

at www.mbp.state.md.us/bpqapp.

Page 25: Maryland Board of Physicians Non-Renewed Physicians … · Mascarenhas Vilma Carmen D0050932 Data compiled 10/5/17. ... Moya Mario D0066857 Mozayeni Cyrus David D0068519 Muangman

Non-Renewed Physicians whose License Expired 9/30/17Maryland Board of Physicians

Staben Rebecca Anne H0075415Stack Christopher Andrew D0083988Stahl Alan G D0013998Stambler Alvin A D0011204Standiford Harold C D0014383Stanley Brian Robert D0058117Stansbury John G D0023765Staples Irina Kirilova D0073278Stapleton Gary Edward D0080381Steigerwald-Mullen Patricia Marie D0060040Stein Bernice D0059753Steiner Claudia Angelica D0041533Steinhoff Mark C D0034451Stephens Jr. Donald Edward D0079328Stephenson Jonathan D. D0073550Stern Richard Owen D0068327Stern Sam J D0081296Stertz Jr. Willie Leon D0065406Stevens Gerin Rachel D0075323Stewart Jeffrey David D0073846Stewart Katherine Ikard D0079739Stewart de Ramirez Sarah Anne D0072806Stimson Jr Cary Wayne D0079511Stoddard Paul Benjamin D0077761STOLAR IRENA OLGA D0028706Stolley Paul D D0011683Stone Alan Barth D0067192Stone Arlen Drew D0054073Strange Matthew George D0080988Strasser Jon Fredric D0062556Stricoff Alan Lawrence H0076098Striker Gary Elmer D0032524Strobel Ashley D0079498Strouse John Joseph D0057117Struewing Jeffery P D0034488Strumpf Kenneth Boyd D0076881Stuckey Daniel Edward D0066869Stump Beverly J D0006578Su Daniel D0076585Subramaniam Rathan Markandan D0073493Sucupira Maria Silva D0026963Sudheendra Deepak D0062384Sugai Carmen Mayugba D0077600Suhardja Agustinus Suhartono D0078407Suk David Juhyuk D0081088Sullivan Ashley Nicole D0079232Sullivan Daniel John H0053418Sullivan Robert - Arne B D0076944Summar Karen Lowry D0071059Sun Chen-Chih J D0020459

Data compiled 10/5/17.For the most up-to-date information regarding a practitioner, please visit the Practitioner Profile

at www.mbp.state.md.us/bpqapp.

Page 26: Maryland Board of Physicians Non-Renewed Physicians … · Mascarenhas Vilma Carmen D0050932 Data compiled 10/5/17. ... Moya Mario D0066857 Mozayeni Cyrus David D0068519 Muangman

Non-Renewed Physicians whose License Expired 9/30/17Maryland Board of Physicians

Sunkara Srinivas D0083884Sunkavalli Prasad T D0030465Suri Megha D0080431Surichamorn Paiboon D0017132Surichamorn Patcharin D0017134Surman Naomi Elizabeth D0077011Sutton Frederick J D0019159Sutton Noah Thomas D0078701Swaby L Annette F D0012507Swaroop Divya D0026390Swartz Joel David D0050890Swier Patrick D0047904Swift John Edward D0044484Swift Joseph P D0012106Sy Alexander O D0039629Syed Sabeen Aslam D0078194Syed Yunus D0078229Symonds Daniel A D0020397Szczech Bartlomiej Wojciech D0080289Szczesniak Eric Kristian D0079297Sze Raymond Wang D0073373Szilagyi Nathalie Marie D0078227Szumel Richard Charles D0047526Tabbara Khalid Fuad D0060704Tadalan-Velasco Vilma F. D0014635Taddesse-Heath Lekidelu D0053878Taftian David H0079855Taghavi Cyrus Emil D0080612Taghizadeh Fereidoon D0017138Tahir Khola Samreen D0079699Takai Sandra A D0025543Takyar Anjali Arulanandan H0081476Takyar Varun D0078198Talalay Paul D0010795Talotta Jr Nicholas Joseph D0080801Talton Hugh J D0019755Tambar Ashish D0082280Tamm Eric Peter D0043684Tammana Swarna H0062176Tamrazi Anobel D0076392Tamsen Ali D0082567Tan Kenneth Tan D0069967Tan Wilson Sy D0069871TANDY MARLENE KAREN D0028342Tanhehco Tasha Yap D0070504Tanio Craig Peter D0047475Tannous Anthony D0079754Tano Benoit Deki Kouame D0070284Taplits Michael Steven D0031338Tarabishy Yaman D0082371

Data compiled 10/5/17.For the most up-to-date information regarding a practitioner, please visit the Practitioner Profile

at www.mbp.state.md.us/bpqapp.

Page 27: Maryland Board of Physicians Non-Renewed Physicians … · Mascarenhas Vilma Carmen D0050932 Data compiled 10/5/17. ... Moya Mario D0066857 Mozayeni Cyrus David D0068519 Muangman

Non-Renewed Physicians whose License Expired 9/30/17Maryland Board of Physicians

Tata Mona Y D0070003Tatum Molly Ann H0081324Taub Floyd E D0023119Tauchen Alexander John D0081362Tavallali Morad D0044121Tawfik Sherif Salah El-Din D0039701Taylon Samuel Michael D0081332Taylor Jacob Louis D0080554Taylor Simeon Israel D0079348Taylor Jr. Rondalph Samuel D0075205Teal James Samuel D0063850Tedford Ryan James D0066269Teeter William Arthur D0078622Tegeris Andrew S D0012478Teka Mestawet Jemberu D0082143Tellez Watson Patricia D0081868Temkin Sarah Madhu D0069672Temple Alton Davis D0071951Temple Joel D D0065926Teply Benjamin Addison D0075453Teply Melissa Langdon D0075466Terplan Mishka Shinn D0069726Thakkar Rajiv Natvarlal D0057427Thakur Netra Madhukar D0060451Thanki Ashok S D0022668Thapa Sritika D0075618Thayer Michael Andrew D0042835Theobalds John B. D0023350Theodossiou Christos D0044193Thiagarajah Christopher Krishan D0072082Thiara Jasser D0074891Thibault Priscilla Chase D0044376Thiel Lisa Michele H0081380Tholpady Sudama S. D0073624Thomas David Brian D0067982Thomas Delvena Renee H0066100Thomas John Rades D0059886Thomas Joseph D0019386Thomas Petra Joanne D0048133Thomas Shane Michael H0074875Thompson Derek Lloyd D0075547Thompson Gregory Noel D0030734Thompson Joel Peter D0081597Thompson Lester Daron Robert D0058587Thompson Reva Marcia D0024750Thornton Katherine Anne D0061711Thorp Jonathan Michael B D0079325Tiger Paul D0074099TILLEY LAWRENCE EDWARD D0028647TILLMAN ULDER J. D0028071

Data compiled 10/5/17.For the most up-to-date information regarding a practitioner, please visit the Practitioner Profile

at www.mbp.state.md.us/bpqapp.

Page 28: Maryland Board of Physicians Non-Renewed Physicians … · Mascarenhas Vilma Carmen D0050932 Data compiled 10/5/17. ... Moya Mario D0066857 Mozayeni Cyrus David D0068519 Muangman

Non-Renewed Physicians whose License Expired 9/30/17Maryland Board of Physicians

Timoh Tendoh Fon D0078306Timothy Promila Kamal D0069598Tintani Francis D0077930Tinubu Jide Mohamed D0074835Tipler Bradley Moore D0072418Tisdale Avian Lynne D0081024Tock Christine Linn D0057717Todd Michael James D0069522Toevs Christine Carter D0044951Tolman Brandon Ross H0079521Tomaszewski Paul Matthew D0081697Toothman Richard Lee D0066216Torna Anne Laura D0057674Toro Rodrigo D0016872Torok Haruka Matsubara D0069494Toscano Andrew James D0078392Tovar Hirashima Eva D0077205Trachiotis Gregory Dean D0052779Trachtenberg David D0010762Trainor William D D0026789Trakhtenbroit Michael Alan D0075132Tramont John Michael D0076731Tramontana Ann M D0030882Tran Lorriann D0074048Tran Michael Nguyen D0081789Trapasso Robert Louis D0042571Trapkin Linda Jean H0076933Travis Mark Douglas D0068638Trenton Brooke Allison D0073598Trewe Matie Rose Brittan D0080508Triche Timothy Junius D0036243Trickett Lesia Malko D0074177Trikalinos Nikolaos D0077566Trimble Christopher Ryan D0075241Tripathi Rajendra D0022675Tripuraneni Krishna Raj D0066966Trivedi Julie D0071342Trivedi Yogi D0067919Trout III Hugh H D0028780Trumler Anya Ann D0071823Tsai Jason D0073964Tsangaris Theodore Neofytos D0040457Tsao Alice Kristen D0067571Tsapenko Mykola V. D0076891Tschokonte Ronny D0081028Tse William D0076226Tsimis Michael Emmanuel D0077354Tso Mark O M D0019226Tublin Ira N D0011485Tucker Stephanie D0064887

Data compiled 10/5/17.For the most up-to-date information regarding a practitioner, please visit the Practitioner Profile

at www.mbp.state.md.us/bpqapp.

Page 29: Maryland Board of Physicians Non-Renewed Physicians … · Mascarenhas Vilma Carmen D0050932 Data compiled 10/5/17. ... Moya Mario D0066857 Mozayeni Cyrus David D0068519 Muangman

Non-Renewed Physicians whose License Expired 9/30/17Maryland Board of Physicians

Tudor Gene Guy D0066926Tuerff Sonya Natalie D0057108Tuffiash William A D0019832Tuladhar Pavitra Man D0018221Tully Dean D0081127Tummala Mounika D0082256Turco Mark Anthony D0057131Turnacioglu Sinan Omer D0060593Turneau Kevin John D0082120Turner Jr. J Francis D0046001Turnes Patrick A D0020806Udey Mark Charles D0038290Uebele Anna Lynn D0078488Ueda Shigeru D0016224Uhlemann Edward R D0018644Ujevich Milo Mark D0075026Umar Muhammad D0075894Umarvadia Jitesh D0080549Unger Christopher D0015929Urban William Christopher D0061076Urban Jr. George E D0012291Urbanes Aris D0063888Usman Saif D0076546Uzoka Chukwuemeka Chigozie D0080440Uzoma Hyacinth Nwakamma D0073140Vaccaro Mark Clayton D0021203Vaeth Mary Florence D0060054Vafier James Alexander D0041597Valdez Carrie Lynne D0079474Valente Alfredo Luis D0047129Valentin Jasmin D0071572Valentine Martin D D0008663Van Blerk Gillian A D0023357Van Dusen Frederick Paul H0067200Van Dyck Peter C. D0045360Van Gelderen Gregory Henry D0057784Van Giesen Peter J. D0013639Van Laere Jeffrey John D0081295Van Oeveren Edward Lanier D0069025Van Slyke John Hamilton D0070122Vander Velde Nancy Sue D0058947Vangala Sandeep D0082597Vannostrand Douglas D0021922Vanscoy Lori Lynne D0061543Vanterpool Joycelyn Honoria D0076882Vardhani Mallampalli P D0021055Vargas Maria Victoria D0078781Varma Krishnan R D0017762Vasconcellos Kate Widmer D0079344Vassar Dean L D0016036

Data compiled 10/5/17.For the most up-to-date information regarding a practitioner, please visit the Practitioner Profile

at www.mbp.state.md.us/bpqapp.

Page 30: Maryland Board of Physicians Non-Renewed Physicians … · Mascarenhas Vilma Carmen D0050932 Data compiled 10/5/17. ... Moya Mario D0066857 Mozayeni Cyrus David D0068519 Muangman

Non-Renewed Physicians whose License Expired 9/30/17Maryland Board of Physicians

Vasudevan Ambalapetta D0019091Vasudevan Sumangala D0081624Vaughn Christopher James D0074884Vaughn III William Samuel D0043641Vaziri Khashayar D0061741Veiga Robert V. D0055365Velandia Rubiano Bertha Cecilia D0077073Velopulos Catherine Garrison D0072555Vengurlekar Sham Mohan D0041714Venkataraman Ganesh Sethu D0067066Venkataramana Anita D0063355Vens Eric Arthur D0075226Ver Elst Rose M D0022685Vera Jr. Gonzalo Hernandez D0037716Vergara-Soares Corazon D0016619Verghese Annie P D0015709Verma Nitin D0066327Verma Shalini Rawal D0079923Vermess Michael D0006491VERNALEO JOHN R D0029840Vickery Zevidah D0082322Vidavalur Ramesh D0066840Vigeland Christine Lee D0078286Villano Stephen Alan D0047557Villanueva Romulo G D0021872Villarreal Alejandro Onier D0068107Villavicencio J Leonel D0046400Vincent Carole Ann H0075672Vincent Thomas A D0024184Viray Ruth Mariel R. D0065857Virk Abinash D0043167Visioni Agostino Joseph D0070582Visner Cynthia Iris D0077901Viswanathan Krishnaswamy G D0022689Vladu Sorel Constantin H0079496Vliet Lee W D0025739Vo Binh Viet D0081550Vogel Donna L D0024570VOGELSANG GEORGIA BOYCE D0029395Voland Joseph Ronald D0069802Voleti Venkateswararao D0027000Volk Charles Philip D0044307Volpe Charles Robert D0061185Von Fricken Manfred A D0021492vonPechmann Walter Siegfried D0066447Vorosmarti James D0021309Vorys Ann Stoneman D0054119Vu Zao Charles D0082910Vulchi Manasa D0079660Vyas Bimal D0078441

Data compiled 10/5/17.For the most up-to-date information regarding a practitioner, please visit the Practitioner Profile

at www.mbp.state.md.us/bpqapp.

Page 31: Maryland Board of Physicians Non-Renewed Physicians … · Mascarenhas Vilma Carmen D0050932 Data compiled 10/5/17. ... Moya Mario D0066857 Mozayeni Cyrus David D0068519 Muangman

Non-Renewed Physicians whose License Expired 9/30/17Maryland Board of Physicians

Wabulya Angela D0073467Wacker Frank Klaus D0048392Wadas Richard John D0078649Wadgaonkar Ajay Dilip D0074105WADWA KALYAN SINGH D0048268Wagner Charles Gilbert D0073422Wagner Karla Montgomery D0045592Waheed Shahid D0041981Wahl Richard Leo D0056622Waldman Carl Jay D0078191Walen Harry M D0010718Walia Sunila Singh D0063622Walker Allen R D0031403Walker Andrew Patrick D0075888Walker Donald Chris D0082743Walker Leah Ruth D0082941Walker Rondi Kathleen D0041082Walker Xaviour James D0078238Walko Martin Stephen D0078482Wallace Eric William D0074978Wallner Paul Elliot H0062205Walls Theresa Ann D0062018Walsh Thomas J D0023879Walton JR Robert Lee D0080984Walton Jr. Tracy M D0011562Wan Alan Wing Lun H0077554Wang Congli D0079776Wang Elizabeth Wenqian D0080639Wang Howard Ding D0079053Wang Ming-Hsien D0069624Wang Xiaotong D0076242Wang Xuan D0078003Ward Alexandra Elizabeth D0079449Ward David Lee D0033924Ward Edward Duffy D0030517Ward Robert Foster D0011257Ward Jr. Horace G D0015164Warren Sharon Jones D0019560Warthen Robert O D0011158Waterbury Marcia D0013466Waters Victor Virgil D0036085Watson Christopher Michael D0071105Watson Douglas C D0036914Watts Meredith R R D0069887Wax Charles M D0024542Waxman Gary Jay D0020491Weatherspoon Kimberly Charmell D0071613

Data compiled 10/5/17.For the most up-to-date information regarding a practitioner, please visit the Practitioner Profile

at www.mbp.state.md.us/bpqapp.