Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****13

NOT RENEWED

N

MD

PRAJAKTA

MOHAN

PHATAK

PRAJAKTA MOHAN PHATAK MD

02/26/2015

04/18/2017

09/30/2020

BLUE ASH

OH

45242

NEW YORK

PRACTITIONER

II III IV V

N

01/14/2021