License Search: Details

Name	Title	Specialty	Certified	Primary Practice Location	Licensed Or Has Been Licensed In
Moorthy Srinivasan Ram	MD		Verify Specialty Certification	,	MD, NY

License History

License Type	License Number	Status	License Date	Expiration Date
PMD	17562	Revoked by Board	11/08/1993	06/30/1995
TMP	A0261	Expired	09/16/1993	11/08/1993

Education History

School	Date Completed	Nature of Training
Medical College, University Of Chennai, Coimbatore	12/01/1973	Medical or Podiatric School
Winthrop Univ Hospital, Mineola	06/30/1983	Post-Graduate Training
Brooklyn Hospital, Brooklyn	6/30/1980	Post-Graduate Training
Interfaith Medical Center, Brooklyn	6/30/1978	Post-Graduate Training

Physician Assistant(s) Collaboration

Name
No Current Supervision

Discipline/Board Action History

Discipline/Board Action	Type of Action	Action Date	Public Documents
Yes	Revocation of License	11/17/1995	Consent Order

Malpractice History

No Malpractice Cases On Record

This data was retrieved on 4/20/2026.