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This data was extracted on 9/30/2025.

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License Number: C0005012 Zuriashwork Tafesse Damtew
License Type: Physician Assistant
License Status: Active  
License Issued: 03/07/2013  License Expiration:  06/30/2027
Licensure Pathway:  Traditional   
Special License Category:  N/A
 Medical Assistance

Accept Medicaid? N/A

Maryland Hospital Privilege Information (as reported by licensee)
Adventist Healthcare Shady Grove Medical Center
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: 6020 |  Submit Date: 08/02/2025
Practice Setting: Hospital
Facility: Adventist Healthcare White Oak Medical Center
Address: 11890 Healing Way
           Silver Spring, MD 20904
Advanced Duties: Yes | Prescriptive Authority: Yes | Dispensing Authority: No   
View Collaboration Agreement
Active Supervisee - Delegation Agreement For Core Duties
D0078964  Adrian Albert Woo   Status: Approved  |  Approved Date:  04/01/2019  | Agreement No: 18742
Prescribe CDS: Yes  | Non-CDS: Yes  | Medical Devices: Yes
Dispense CDS: No  | Dispense NCDS: No
D0074374  Vijaya Krishna Kommineni   Status: Approved  |  Approved Date:  11/30/2020  | Agreement No: 21286
Prescribe CDS: Yes  | Non-CDS: Yes  | Medical Devices: Yes
Dispense CDS: No  | Dispense NCDS: No
D0084234  Edris Ali Meda   Status: Approved  |  Approved Date:  08/09/2023  | Agreement No: 32721
Prescribe CDS: Yes  | Non-CDS: Yes  | Medical Devices: Yes
Dispense CDS: No  | Dispense NCDS: No
D0057951  Milad Lali Pooran   Status: Approved  |  Approved Date:  05/10/2024  | Agreement No: 33962
Prescribe CDS: Yes  | Non-CDS: No  | Medical Devices: No
Dispense CDS: No  | Dispense NCDS: No
D0090518  Sreelakshmi Kooragayalu   Status: Approved  |  Approved Date:  06/03/2024  | Agreement No: 34128
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.
 Convictions for any crime involving moral turpitude
None reported by the courts.
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