License Verification

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SHYAM KUMAR RAJENDRA INJETY

License Number: PA9108987

Data As Of 5/19/2024

Profession
Physician Assistant
License
PA9108987
License Status
CLEAR/Active
Qualifications
Prescribing
License Expiration Date
1/31/2026
License Original Issue Date
09/08/2015
Address of Record
East Highway 18
PINE RIDGE, SD 57770
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No
Address
200 AVENUE F NE WINTER HAVEN
WINTER HAVEN, FL 33881
Name Relationship Profession License Effective Date
ANSARI, MASOOD UL-HASSAN Supervising Prescribing Practitioner Medical Doctor 76511 01/25/2023
BERRIOS, MATTHEW WILLIAM Supervising Prescribing Practitioner Osteopathic Physician 13897 01/16/2022
CUNNINGHAM, MICHAEL F Supervising Prescribing Practitioner Osteopathic Physician 14869 07/08/2022
FISHER, ALLEN MICHAEL Supervising Prescribing Practitioner Osteopathic Physician 6992 11/19/2021
GOYAL, KAMAL KUMAR MD Supervising Prescribing Practitioner Medical Doctor 132449 05/01/2023
JEAN-BAPTISTE, NAOMI Supervising Prescribing Practitioner Medical Doctor 137930 03/01/2023
KLEINMAN, DANA Supervising Prescribing Practitioner Osteopathic Physician 11037 11/19/2021
MAHON, BENJAMIN MICHAEL Supervising Prescribing Practitioner Medical Doctor 114305 08/02/2022
MIAH, BAHAR Supervising Prescribing Practitioner Medical Doctor 108183 11/19/2021
MOURSI, HOUSAM DO Supervising Prescribing Practitioner Osteopathic Physician 7173 11/19/2021
NUNEZ-CUBILLAS, ALBERTO Supervising Prescribing Practitioner Physician Assistant 9101680 08/02/2022
NWAUCHE, UGWUALA Supervising Prescribing Practitioner Medical Doctor 140368 11/19/2021
PILGRIM, RANDAL LEE MD Supervising Prescribing Practitioner Medical Doctor 62374 11/19/2021
REHMAN, ARIF UR Supervising Prescribing Practitioner Medical Doctor 83632 01/07/2023
RENNIE, CHAD TROY Supervising Prescribing Practitioner Medical Doctor 151065 11/19/2021
SANTIAGO-APONTE, RAFAEL A Supervising Prescribing Practitioner Medical Doctor 114771 11/19/2021
SMITH, JAMES RONALD Supervising Prescribing Practitioner Medical Doctor 88216 11/19/2021
STRICKLEN, HILLARY E Supervising Prescribing Practitioner Osteopathic Physician 13908 05/01/2023
VIK, DAVID FRANCIS Supervising Prescribing Practitioner Medical Doctor 131797 11/19/2021
WALLACE, STEVEN GREGORY JR Supervising Prescribing Practitioner Physician Assistant 9107761 06/28/2023

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Name Relationship Profession License Effective Date

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Name Relationship Profession License Effective Date

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No Continuing Education Hours Received from Approved Providers As Of 5/19/2024



* To find out more about Approved Providers, or ask a provider why the course you took is not yet listed, please visit our Continuing Education Providers page.


** Personal Development is limited to no more than 3 hours per renewal cycle. Any personal development hours in excess of this 3 hour maximum cannot be used for renewal and have been subtracted from the total available for renewal.


Please do not fax proof of Continuing Education hours to the Board Office until you have received your renewal notice in the mail.


For instructions on how to request a license certification of your Florida license to be sent to another state from the Florida Department of Health, please visit the License Certifications web page.