PRANAV DILIP BHAKTA Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085009191

License Status

ACTIVE

Business

First Name

PRANAV

Middle

DILIP

Last Name

BHAKTA

Business Name

PRANAV DILIP BHAKTA

Original Issue Date

08/13/2022

Effective Date

01/21/2024

Expiration Date

03/01/2026

City

STAMFORD

State

Zip

79553

Ever Disciplined

LastModifiedDate

12/03/2025