Maryland Board of Physicians
Practitioner Profile Portal
This data was extracted on
9/30/2025
.
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License Number
:
C0005905
Stefanie Rachel Coles
License Type
:
Physician Assistant
License Status
:
Active
License Issued
:
09/10/2015
License Expiration:
06/30/2027
Licensure Pathway:
Traditional
Special License Category:
N/A
Education
N/A
Medical Assistance
Accept Medicaid?
N/A
Maryland Hospital Privilege Information
(as reported by licensee)
Licensee has not reported Maryland Hospital Privilege information for the profile site.
Medical Licenses Held in Other States
(as reported by licensee)
Licensee has not reported Medical Licenses Held in Other States information for the profile site.
Physician Assistant Notification of Collaboration Agreements
Agreement ID: 5853 | Submit Date: 07/16/2025
Practice Setting: Hospital
Facility: University Of Md Upper Chesapeake Medical Center
Address: 500 Upper Chesapeake Drive
Bel Air, MD 21014
Advanced Duties: Yes | Prescriptive Authority: Yes | Dispensing Authority: No
View Collaboration Agreement
Active Supervisee - Delegation Agreement For Core Duties
D0038543
Kevin Henry Scruggs Status: Approved |
Approved Date:
02/10/2016 | Agreement No: 14254
Prescribe CDS: Yes | Non-CDS: Yes | Medical Devices: Yes
Dispense CDS: No | Dispense NCDS: No
D0074790
Ravikumar Manharlal Bhalavat Status: Approved |
Approved Date:
02/22/2024 | Agreement No: 33467
Prescribe CDS: Yes | Non-CDS: Yes | Medical Devices: No
Dispense CDS: No | Dispense NCDS: No
D0079832
Dev Aditya Gautam Basu Status: Approved |
Approved Date:
05/06/2024 | Agreement No: 33927
Prescribe CDS: Yes | Non-CDS: Yes | Medical Devices: No
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.
Convictions for any crime involving moral turpitude
None reported by the courts.
Appendix
General Disclaimer
Glossary of Terms
Notice to Credential Verification Professionals