License holder summary

TAKAENDESA-MUPANDUKI, ITAI M MD, MD is a Medical - Physician licensed to practice in Georgia. The address on file for TAKAENDESA-MUPANDUKI, ITAI M MD, MD is 2452 VAUCLUSE ROAD, CHARLESTON 29414. This doctor license is current. The license was granted 12/07/2012 and expired on 10/31/2016.

Georgia

Composite Medical Board

TAKAENDESA-MUPANDUKI, ITAI M MD, MD
Medical - Physician
License number
068972
Date granted
12/07/2012
Date expires
10/31/2016
Class
Medical - Physician
Status
Active
Address
2452 VAUCLUSE ROAD
georgiadoctors.net
ID 38086081
LAST UPDATED 2026-03-23 14:02:34 UTC

This website is unaffiliated with the Composite Medical Board. Please verify all information directly with the relevant official government authority.

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