Guam Board of Medical Examiners (GBME)

PROVIDERS

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Philip A Dauterman

Board: Guam Board of Medical Examiners
Type of Provider: GBME
License Number: M-1177
License Status: Valid
License Expiration Date: 12/31/2025
NPI#: 1225094055
Disciplinary Action(s): No
Felony Conviction(s): None
Misdemeanor Conviction(s): None
Conditions/Limitations: None

Phillip M. Mele

Board: Guam Board of Medical Examiners
Type of Provider: GBME
License Number: DOC-035
License Status: Valid
License Expiration Date: 12/31/2025
Felony Conviction(s): None
Misdemeanor Conviction(s): None
Conditions/Limitations: None

Phillip W Reyes

Board: Guam Board of Medical Examiners
Type of Provider: GBME
License Number: M-2061
License Status: Expired
License Expiration Date: 12/31/2021
Felony Conviction(s): None
Misdemeanor Conviction(s): None
Conditions/Limitations: None

Phuong M. Cao

Board: Guam Board of Medical Examiners
Type of Provider: GBME
License Number: DO-0099
License Status: Expired
License Expiration Date: 12/31/2021
Felony Conviction(s): None
Misdemeanor Conviction(s): None
Conditions/Limitations: None

Pichet IamPornpipopchai

Board: Guam Board of Medical Examiners
Type of Provider: GBME
License Number: M-1773
License Status: Valid
License Expiration Date: 12/31/2025
NPI#: 1679738330
Felony Conviction(s): None
Misdemeanor Conviction(s): None
Conditions/Limitations: None

Pingali Chandra Mohan

Board: Guam Board of Medical Examiners
Type of Provider: GBME
License Number: M-2369
License Status: Expired
License Expiration Date: 12/31/2023
Felony Conviction(s): None
Misdemeanor Conviction(s): None
Conditions/Limitations: None

Pouya Javadian

Board: Guam Board of Medical Examiners
Type of Provider: GBME
License Number: M-2361
License Status: Valid
License Expiration Date: 12/31/2025
NPI#: 1154783751
Felony Conviction(s): None
Misdemeanor Conviction(s): None
Conditions/Limitations: None

Praveena Madapathi

Board: Guam Board of Medical Examiners
Type of Provider: GBME
License Number: M-2407
License Status: Valid
License Expiration Date: 12/31/2025
NPI#: 1205462330
Felony Conviction(s): None
Misdemeanor Conviction(s): None
Conditions/Limitations: None

Qi Xin Chen

Board: Guam Board of Medical Examiners
Type of Provider: GBME
License Number: M-1664
License Status: Expired
License Expiration Date: 12/31/2021
Felony Conviction(s): None
Misdemeanor Conviction(s): None
Conditions/Limitations: None

Rachael JM. Consoli

Board: Guam Board of Medical Examiners
Type of Provider: GBME
License Number: M-2034
License Status: Valid
License Expiration Date: 12/31/2025
NPI#: 1093884603
Disciplinary Action(s): No
Felony Conviction(s): None
Misdemeanor Conviction(s): None
Conditions/Limitations: None