LOUISIANA STATE BOARD OF MEDICAL EXAMINERS

630 Camp Street, New Orleans, LA 70130

PHONE (504) 568-6820 FAX (504) 599-0503

Email: licensing@lsbme.la.gov Web site: www.lsbme.la.gov

Telemedicine Emergency Temporary Permits

have been approved for the following physicians

NAME CREDENTIALING STATE LICENSE #

Ada Cuellar TX N1598

Adam Evans NY 245325

Adenike Ishola TX BP10069932

Ahmad Goodarzi TX P2861

Ajay Shah TX R2473

Akash Patel TX Q0532

Akshat Katyayan TX R7497

Akshay Sharma TN 57576

Alastair Thompson TX R4912

Alessandra Gasior OH 35.126444

Alexander Pastuszak UT 10870398-1205

Alice Mao TX H4516

Alireza Raboubi CA A110594

Alisa Acosta TX L9983

Allison Holley FL ME108062

Allon Mordel NY 293036

Allyson Wyat TX Q8191

Aloysia Schwabe TX K8478

Alvaro Orjuela TX 46795

Amaka Akalonu TX P6564

LOUISIANA STATE BOARD OF MEDICAL EXAMINERS

630 Camp Street, New Orleans, LA 70130

PHONE (504) 568-6820 FAX (504) 599-0503

Email: licensing@lsbme.la.gov Web site: www.lsbme.la.gov

Telemedicine Emergency Temporary Permits

have been approved for the following physicians

NAME CREDENTIALING STATE LICENSE #

Amanda Brown TX Q9301

Amber McIlwain MS 21215

Amine Rakab CA G79499

Amir Jazayeri TX S2072

Andrea Balazs TX M1488

Andrea Ramirez TX P5562

Andrew Chu TX Q8453

Andrew Lee TX J7048

Andrew Van Vugt FL ME106872

Anh Lan Troung TX R3237

Ann Marie Busick WV 3012

Ann Scheimann TX J9800

Anna Rose Maldonado NM MD2006-0120

Annise Wilson TX R6505

Anthony Echo TX N9541

Antonio Capps TN 49970

Anuja Vyas TX M6942

Anuranjita Nayak TX Q1461

Ashley Smith TX R9690

Ashok Yerramsetti TX S3615

LOUISIANA STATE BOARD OF MEDICAL EXAMINERS

630 Camp Street, New Orleans, LA 70130

PHONE (504) 568-6820 FAX (504) 599-0503

Email: licensing@lsbme.la.gov Web site: www.lsbme.la.gov

Telemedicine Emergency Temporary Permits

have been approved for the following physicians

NAME CREDENTIALING STATE LICENSE #

Atif Iqbal TX R9372

Audrey Chan TX Q0233

Bahar Zadeh GA 74932

Benjamin Schneider TX Q2620

Bernard White FL ME141426

Bernhard Suter TX N9967

Bonnie Berger-Durnbaugh IA MD-47161

Bonnie McCann-Crosby TX P1897

Bruno Chumpitazi TX M6570

Bryan Burt TX Q2110

Bryan Vartabedian TX K1114

Cammy Benton NC 200301203

Carla Davis TX L1306

Carlos Ramos CA A68251

Carlos Bacino TX J6069

Carlos Rivera TX H9261

Carol Redel TX J0645

Catherine Joseph TX R2892

Catherine Rogers MS 25558

Chad Purnell IL 036135966

LOUISIANA STATE BOARD OF MEDICAL EXAMINERS

630 Camp Street, New Orleans, LA 70130

PHONE (504) 568-6820 FAX (504) 599-0503

Email: licensing@lsbme.la.gov Web site: www.lsbme.la.gov

Telemedicine Emergency Temporary Permits

have been approved for the following physicians

NAME CREDENTIALING STATE LICENSE #

Charles Gay TX G8126

Charles Richardson MS 24622

Chaya Murali TX R8062

Cheri Ogwo AR E-9911

Chesney Fowler DC MD044731

Chisom Oleka TX Q3070

Chris Bodle GA 76945

Christian Kitamura HI MD-18633

Christian Niedzwecki TX P4215

Christina Davis-Kankanamge TX R3059

Claire Bocchini TX M9867

Claire Ozaki TX J2717

Craig Jensen TX H3255

Dana Bradley TX R4815

Dana Lerman CO DR.0059426

Daniel Davila-Williams TX S4938

Daniel DeSalvo TX Q4938

Daniel Edney MS 12271

Daniel Glaze TX E2575

Daniel Leung TX N2624

LOUISIANA STATE BOARD OF MEDICAL EXAMINERS

630 Camp Street, New Orleans, LA 70130

PHONE (504) 568-6820 FAX (504) 599-0503

Email: licensing@lsbme.la.gov Web site: www.lsbme.la.gov

Telemedicine Emergency Temporary Permits

have been approved for the following physicians

NAME CREDENTIALING STATE LICENSE #

Daniel Rusu KY 44280

Danielle Antosh TX P1516

Darren Phelan CA G71895

Daryl Scott TX M0904

David Morley NJ 25MA09279400

David Morris IL 036108676

David Nguyen AR E-8400

David Paul TX H2673

David Spielberg TX R4148

David Tobias TX N7593

Davut Pehlivan TX R5794

Deborah McCollum TX J8313

Denise Metry TX K9616

Donald Faucett MS 10068

Donna Poulose TX R8967

Donna Weber TX J7722

Douglas Fishman TX M5159

Dylan Deatrich PA MD431172

Eduardo Vadia TX M8398

Edward Espineli TX P8894

LOUISIANA STATE BOARD OF MEDICAL EXAMINERS

630 Camp Street, New Orleans, LA 70130

PHONE (504) 568-6820 FAX (504) 599-0503

Email: licensing@lsbme.la.gov Web site: www.lsbme.la.gov

Telemedicine Emergency Temporary Permits

have been approved for the following physicians

NAME CREDENTIALING STATE LICENSE #

Eileen Brewer TX E9124

Elaine Seto TX P8619

Ellen Fan IN 01063338A

Ellena Boddie IL 036116967

Elizabeth Bonefas TX G9327

Enchanta Jenkins CA C143625

Eric Chiou TX N7786

Ernestina Melicoff-Portillo TX N7561

Eval Muscal TX M6789

Evan Li TX P5203

Ewan Johnson TX N8018

Fadel Ruiz TX N0418

Faith Ihekweazu TX P3006

Farah Khatoon TX S2367

Farhan Tahir CA C161749

Farida Abid TX M3132

Fatema Malbari TX R3906

Feliz Seeborg TX M4519

Fida Bacha TX P1044

Flor De Maria Munoz TX K4508

LOUISIANA STATE BOARD OF MEDICAL EXAMINERS

630 Camp Street, New Orleans, LA 70130

PHONE (504) 568-6820 FAX (504) 599-0503

Email: licensing@lsbme.la.gov Web site: www.lsbme.la.gov

Telemedicine Emergency Temporary Permits

have been approved for the following physicians

NAME CREDENTIALING STATE LICENSE #

Frank Lee TX Q3723

Galina Toneva TX R5482

Garret Burris TX P3293

Gary Clark TX J7451

Gayatri Mirani TX R4434

Geoffrey Preidis TX R4456

George Mallory Jr. TX L3386

George Van Buren TX M5961

Gisselle Perez-Milicua TX Q8328

Gloria Diaz-Medina TX P3707

Grace Kim TX G6859

Grace Lee TX Q6766

Haluk Altiok IL 036115377

Hanan Atia FL ME130776

Hany Samir TX Q1859

Hari Khalsa CO DR.0054611

Harold Delasalas TX Q0900

Hassan Amhaz SC 81755

Heather Ratliff WV 2127

Hemant Dand TX M3203

LOUISIANA STATE BOARD OF MEDICAL EXAMINERS

630 Camp Street, New Orleans, LA 70130

PHONE (504) 568-6820 FAX (504) 599-0503

Email: licensing@lsbme.la.gov Web site: www.lsbme.la.gov

Telemedicine Emergency Temporary Permits

have been approved for the following physicians

NAME CREDENTIALING STATE LICENSE #

Henry Osso-Rivera TX R6068

Hilary Beaver TX J8201

Holly Dudley-Harrell TX M6590

Howard Huang TX L6069

Huyen Nguyen TX Q3747

Ihab Halaweish OH 35.136272

Imad Jarjour TX M1162

Ioanna Athanassaki TX M5034

Irene Patniyot TX Q9875

Irfan Ali TX Q6138

Irmanie Hemphill FL ME108465

Ivan Chinn TX Q1582

Jaimie Nathan OH 35.035.08840788407

James Riviello TX M8285

James Suliburk TX L7895

James Teet FL OS12767

James Waters CA A138367

Jamie Lai TX R2148

Jason Woo CA A166878

Javier Chinen TX M8597

LOUISIANA STATE BOARD OF MEDICAL EXAMINERS

630 Camp Street, New Orleans, LA 70130

PHONE (504) 568-6820 FAX (504) 599-0503

Email: licensing@lsbme.la.gov Web site: www.lsbme.la.gov

Telemedicine Emergency Temporary Permits

have been approved for the following physicians

NAME CREDENTIALING STATE LICENSE #

Jay Gavvala TX Q7373

Jeanhyong Park MD D0083660

Jeanine Shah IL 036132417

Jeffrey Ackman IL 036066460

Jeffrey Morris MS 14406

Jenell Decker VA 0101243504

Jennifer Bell TX M4709

Jennifer Bercaw-Pratt TX M9853

Jennifer Deason VA 0101264651

Jennifer Dietrich TX L6358

Jennifer Hadley AL MD.35709

Jennifer Miller TX R3381

Jennifer Nadel VA 0101249367

Jihad Youssef TX P3492

Jimmy Holder TX P5534

Joanna Queen TX R2944

John Bernard Jr. NJ 25MA06886700

John Blewett TX E9545

John DePetrillo NY 250815

John Hollier TX Q1171

LOUISIANA STATE BOARD OF MEDICAL EXAMINERS

630 Camp Street, New Orleans, LA 70130

PHONE (504) 568-6820 FAX (504) 599-0503

Email: licensing@lsbme.la.gov Web site: www.lsbme.la.gov

Telemedicine Emergency Temporary Permits

have been approved for the following physicians

NAME CREDENTIALING STATE LICENSE #

John Hornberger CA G59734

Jonathan Hinds NJ 25MA09815700

Jonathan Jassey NY 243849

Jonathan Ramharack NY 269663

Joseph Angelo TX N8164

Joseph Chorley TX J7760

Joseph Jankovic TX E8000

Joseph Markey FL ME139328

Joud Hajjar TX N7429

Julia Corcoran IL 036082569

Julie Hakim TX P9070

Julie Nangia TX N5902

Juliet Holder-Haynes TX N4474

Kalpana Bhairavarasu TX M9162

Karen Diefenbach OH 35.099337

Karen Tuano TX P5747

Karthik Cherukupally TX BP10069931

Katerina Nella TX Q1245

Kathleen Motil TX G1966

Kathryn Peeden OH 35.084896

LOUISIANA STATE BOARD OF MEDICAL EXAMINERS

630 Camp Street, New Orleans, LA 70130

PHONE (504) 568-6820 FAX (504) 599-0503

Email: licensing@lsbme.la.gov Web site: www.lsbme.la.gov

Telemedicine Emergency Temporary Permits

have been approved for the following physicians

NAME CREDENTIALING STATE LICENSE #

Kathryn Williams TX R4167

Kathy Hwu TX J3501

Katrine Moreale CA C55293

Kavitha Marri TX R0072

Kayla Balaj TX BP10039930

Kelly Fegan-Bohm TX R3670

Kelly Hicks TX N5106

Keisha Barton TX Q8754

Kelsey Davidson IL 036143920

Kenneth Goldschneider OH 35.076447

Keri McFarlane FL ME81394

Kevin Barrows CA G79743

Khai-El Johnson DC MD047107

Kim Hammerberg IL 036058222

Kimberly Houck TX Q8509

Kirti Saxena TX M3728

Kristie Nichols PA MD435394

Kristin VanBuren TX M6953

Krupa Mysore TX Q9688

Krystal Sully TX R8116

LOUISIANA STATE BOARD OF MEDICAL EXAMINERS

630 Camp Street, New Orleans, LA 70130

PHONE (504) 568-6820 FAX (504) 599-0503

Email: licensing@lsbme.la.gov Web site: www.lsbme.la.gov

Telemedicine Emergency Temporary Permits

have been approved for the following physicians

NAME CREDENTIALING STATE LICENSE #

Laura Borgos NY 282038

Laurie Robak TX Q9340

Lee Alkureishi IL 036137632

Lefkothea Karaviti TX J0548

Lenora Noroski TX J6195

Leonardo Vieira PA MD470916

Leyat Tal TX Q1916

Lila Rosenthal CO MD.0045788

Lily Zeng CA A161391

Lina Karam TX M7319

Linda Anegawa HI MD-13216

Lindsay Burrage TX N9681

Lisa Emrick TX P4161

Lisa Koers IN 01078260A

Lisa Remaley-Walters PA MD062655L

Lisa Satter TX P5064

Lloyd Meeks TX M2072

Lorraine Potocki TX K1623

Louis-Marcel Andre Cesar WI 33475-20

Lydia Sharp TX P7207

LOUISIANA STATE BOARD OF MEDICAL EXAMINERS

630 Camp Street, New Orleans, LA 70130

PHONE (504) 568-6820 FAX (504) 599-0503

Email: licensing@lsbme.la.gov Web site: www.lsbme.la.gov

Telemedicine Emergency Temporary Permits

have been approved for the following physicians

NAME CREDENTIALING STATE LICENSE #

Madhu Kollipara TX M6239

Mailan Nguyen TX Q9216

Maria Pereira Palacios TX R7849

Maria Redondo TX M9604

Marian Olpinski IL 036129163

Marietta De Guzman TX L4325

Mario Fusaro NY 263930

Marlin Trainer ID O-276

Marlon Marquino MO 2007021709

Manuel Carmona TX M7630

Maria Valenzuela NY 245028

Marianna Sockrider TX H3702

Mary Tessier TX P1935

Meera Gupta TX M9332

Melissa Johnson TN 52192

Melissa Yu TX P4013

Melody Msiska IN 01074373A

Mered Parnes TX Q0335

Michael Braun TX L2820

Michael Chang NY 255450

LOUISIANA STATE BOARD OF MEDICAL EXAMINERS

630 Camp Street, New Orleans, LA 70130

PHONE (504) 568-6820 FAX (504) 599-0503

Email: licensing@lsbme.la.gov Web site: www.lsbme.la.gov

Telemedicine Emergency Temporary Permits

have been approved for the following physicians

NAME CREDENTIALING STATE LICENSE #

Michael Lutter TX M0475

Michael Quacinella CA 14499

Michael Upton VT 042.0009244

Michael Wangler TX N3383

Michael Wu TX S1020

Michal Szczodry IL 0361410743

Michelle Holick TX N9876

Michelle Mitchell PA MD469925

Mini Michael TX L8134

Mitchell Grasseschi IL 036047895

Monica Kumar CA A103086

Monica Proud TX N2252

Mustafa Tosur TX Q4535

Nancy Youssef MA 248317

Natalie Torres TX S6755

Nathan Lewandoski CA A141213

Neelam Mohapatra CA C132190

Neha Seth TX R0322

Nicholas Rider TX Q3585

Nicole Jernick CA A146091

LOUISIANA STATE BOARD OF MEDICAL EXAMINERS

630 Camp Street, New Orleans, LA 70130

PHONE (504) 568-6820 FAX (504) 599-0503

Email: licensing@lsbme.la.gov Web site: www.lsbme.la.gov

Telemedicine Emergency Temporary Permits

have been approved for the following physicians

NAME CREDENTIALING STATE LICENSE #

Nidhi Bansal TX P4630

Nidhy Varghese TX M6823

Nikita Shukla TX R6287

Niraj Mehta TX L7482

Olatunji Oluwatade MS 19904

Olga Waln TX P3094

Olufunke Akinbobuyi LA 307215

Oluyemisi Adeyemi-Fowode TX P5766

Omar Barakat TX K2407

Patricia Carrington MD D38506

Patricia Sitnitsky CA A88027

Patrick O’Malley TX BP20069982

Paul Peirce MS 06454

Paula Hertel TX L2318

Peninnah Mutungi MO 2010005859

Peter Kamp MS 12752

Peter Smith IL 036072267

Philip Carrott TX S1576

Poyyapakkam Srivaths TX N4126

Pravin-Kumar Patel IL 036089964

LOUISIANA STATE BOARD OF MEDICAL EXAMINERS

630 Camp Street, New Orleans, LA 70130

PHONE (504) 568-6820 FAX (504) 599-0503

Email: licensing@lsbme.la.gov Web site: www.lsbme.la.gov

Telemedicine Emergency Temporary Permits

have been approved for the following physicians

NAME CREDENTIALING STATE LICENSE #

Pritam Ghosh TX N9210

Priya Raj TX Q4672

Purnendu Gupta IL 036086266

Radhika Ratnabalasuriar AZ D06242065

Raegan Hunt TX P6425

Rahult Pandit TX L7091

Rashmi Maganti TX M7389

Raymon Grogan TX S3980

Riad Abdelkarim CA A55755

Richard Dickinson NY 215513

Richard Kellermayer TX N0154

Richard Rubin TX G9386

Richard Wood OH 35.126472

Robert Ripley TX S4852

Robert Shulman TX F5373

Robert Southard TX Q5725

Robert Tillman TX Q4533

Robert Vichich KY 46956

Rochelle Dy TX N3625

Rohini Coorg TX P9177

LOUISIANA STATE BOARD OF MEDICAL EXAMINERS

630 Camp Street, New Orleans, LA 70130

PHONE (504) 568-6820 FAX (504) 599-0503

Email: licensing@lsbme.la.gov Web site: www.lsbme.la.gov

Telemedicine Emergency Temporary Permits

have been approved for the following physicians

NAME CREDENTIALING STATE LICENSE #

Rona Sonabend TX M1412

Rossana Malatesta Muncher TX Q7415

Ryan Deweese IN 01065233A

S. Julie-Ann Lloyd TX 46855

Saad Farooqi TX R8888

Sahar Siddiqui TX R1453

Saimun Singla TX P6087

Samuel Elias-Ausi FL ME129638

Samuel Pierce MS 21731

Sandeep Agarwal TX M6000

Sandeep Sahay TX Q3087

Sandra Amaral PA MD443826

Sandra Yi-Sheng Lin MD D59305

Safa Magid CA A108121

Sanjiv Harpavat TX NS708

Sanjiv Sur TX K4581

Sara Andert WA MD00041967

Sara Anvari TX P9793

Sara Bowling CA A157798

Sara Klinepeter Bartz TX P2137

LOUISIANA STATE BOARD OF MEDICAL EXAMINERS

630 Camp Street, New Orleans, LA 70130

PHONE (504) 568-6820 FAX (504) 599-0503

Email: licensing@lsbme.la.gov Web site: www.lsbme.la.gov

Telemedicine Emergency Temporary Permits

have been approved for the following physicians

NAME CREDENTIALING STATE LICENSE #

Sarah Lyons TX Q1661

Sarah Malka NC 2014-01056

Sarah Nicholas TX N7730

Sarah Risen TX Q5919

Sarah Swartz TX M0937

Sarika Aggarwal CA A51142

Scott Wenderfer TX L5951

Seema Lalani TX L4033

Seema Walsh TX N6490

Seiji Kitagawa TX E6428

Selorm Del-Tutu TX S1384

Serife Uysal TX R4647

Shahid Husain IN 01068238A

Shannon Dicarlo TX P8656

Shannon French TX M6137

Shawn Groth TX Q2138

Shelia Gunn TX G9859

Shomir Banerjee CA A013779

Shubhra Mukherjee IL 036102847

Simon Yau TX R1478

LOUISIANA STATE BOARD OF MEDICAL EXAMINERS

630 Camp Street, New Orleans, LA 70130

PHONE (504) 568-6820 FAX (504) 599-0503

Email: licensing@lsbme.la.gov Web site: www.lsbme.la.gov

Telemedicine Emergency Temporary Permits

have been approved for the following physicians

NAME CREDENTIALING STATE LICENSE #

Sindhu Idicula TX N6373

Siripoom McKay TX J7816

Sohail Khan MO 2006001521

Sonali Sen TX R7595

Sophia Ebenezer TX P7904

Stacey Ann Carter TX Q5630

Staci King TX Q8272

Stephanie Sisley TX P9621

Stephen Hilgers TX P9199

Stephen Kelly NJ 25MB09297100

Stephen North NC 2006-00475

Sulin Chung NY 275000

Suresh “Jay” DeSilva NC 00971315

Suzanne Woodbury TX L9559

Swati Karmarkar TX R8220

Syed Saleh Uddin TX BP10069934

Tetsuo Ashizawa TX E6717

Thara Bala TX P0472

Thomas Kalb NY 163479

Tiffany Herd TX P5378

LOUISIANA STATE BOARD OF MEDICAL EXAMINERS

630 Camp Street, New Orleans, LA 70130

PHONE (504) 568-6820 FAX (504) 599-0503

Email: licensing@lsbme.la.gov Web site: www.lsbme.la.gov

Telemedicine Emergency Temporary Permits

have been approved for the following physicians

NAME CREDENTIALING STATE LICENSE #

Timothy Lotze TX K9111

Tina Wu CA A76843

Tiphanie Vogel TX R0672

Tracy Patel TX N6570

Trang Vu NY 278864

Tristi Muir TX M2413

Tsuh-Yin Chen CA C55563

Umm-E-Kulsoom Kazmi TX BP10069933

Vernon Sutton TX K8506

Victor Tarsia NY 215644

Vincent Horne TX R3529

Wilfred Castro-Reyes TX G2114

William Craigen TX H9460

William Fisher TX K5934

William Ondo TX K0969

Vynedra Smith NC 2005-01872

Yen Pham TX N4668

Yen (Michelle) Tran TX Q4538

Yesenia Rojas-Khalil TX R3416

Yuezhen (Lynda) Lin TX N1737

LOUISIANA STATE BOARD OF MEDICAL EXAMINERS

630 Camp Street, New Orleans, LA 70130

PHONE (504) 568-6820 FAX (504) 599-0503

Email: licensing@lsbme.la.gov Web site: www.lsbme.la.gov

Telemedicine Emergency Temporary Permits

have been approved for the following physicians

NAME CREDENTIALING STATE LICENSE #

Yuri Agrawal MD D70378

Yvette Owens NY 222806

Zeenat Safdar TX M4505

Zina Semenovskaya CA A125620