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This data was extracted on 9/30/2025.

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License NumberC0009475 Jewel Alexandria Amrich
License TypePhysician Assistant
License StatusActive  
License Issued07/16/2024  License Expiration:  06/30/2027
Licensure Pathway:  Traditional   
Special License Category:  N/A
 Medical Assistance

Accept Medicaid? No

Maryland Hospital Privilege Information (as reported by licensee)

Adventist Healthcare Shady Grove Medical Center
Suburban Hospital
Medical Licenses Held in Other States (as reported by licensee)

Virginia
 Physician Assistant Notification of Collaboration Agreements

Agreement ID: 4156 |  Submit Date: 04/30/2025
Practice Setting: Private Practice / Outpatient Clinic
Facility: Shady Grove Orthopaedics
Address: 9601 Blackwell Road Ste 100
           Rockville, MD 20850
Advanced Duties: No | Prescriptive Authority: Yes | Dispensing Authority: No   
View Collaboration Agreement
Active Supervisee - Delegation Agreement For Core Duties

D0061416  Sridhar M. Durbhakula   Status: Approved  |  Approved Date:  07/30/2024  | Agreement No: 34670
Prescribe CDS: Yes  | Non-CDS: Yes  | Medical Devices: Yes
Dispense CDS: No  | Dispense NCDS: No
Download all Maryland Disciplinary Actions (not time-limited)

All Orders are downloaded in .pdf format.
None.
 Summary of Known Disciplinary Actions by any state medical board (within the past 10 years)   Please Read Description

In Maryland:
No Known Disciplinary Actions by the Maryland Board of Physicians have been reported.
Other States:
No Known Disciplinary Actions by any other state medical board have been reported.
 Pending Charges   Please Read Disclaimer

All Charges are downloaded in .pdf format.
None.
 Other Public Actions in the Practice of the Profession or Administrative Fines (including Maryland)   Please Read Description

No reported Other Public Actions in the Practice of the Profession or Administrative Fines (incl. Maryland) for this licensee.
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