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Licensee Information

Praveen Mannam - MD
2016-00544
Active
No
04/01/2016
12/16/2026

Active Supervisees

NameTypeStatusApprovedInactive
Autry, Lauren Elizabeth Physician Assistant Active 09/03/2024
Eubanks, Katalina Marie Nurse Practitioner Active 04/11/2022
Hicks, Samantha Blake Nurse Practitioner Active 03/20/2024
Hoffman, Paul William Nurse Practitioner Active 08/30/2021
Latta, Marc Travis Physician Assistant Active 12/18/2024
Woods, Aaron Blaine Physician Assistant Active 10/14/2024

North Carolina Hospital Admitting Privileges

Location
Alamance Regional Medical Center
Moses Cone Health System
Wesley Long Community Hospital, Inc.

Out of State Active/Inactive Licenses

State
Connecticut

Out of Country Active/Inactive Licenses

Country
None Reported

Address

LeBauer Healthcare
3511 W Market st
Greensboro, NC 27403
336-547-1801

Information

Medical School

SchoolGraduation
Stanley Medical College, University of Chennai2000

Post Graduate Training

"Last Year" does not necessarily mean that the licensee completed his/her training program. (In NC, a physician can be licensed without completing such a program.)

InstitutionSpecialtyState, CountryTraining ProgramLast Year
Yale UniversityOther - Pulmonary and Critical Care CT, US Fellowship2010
Drexel UniversityInternal Medicine PA, US Residency2006

Current Board Certification and Year of Certification/Recertification

Physicians should not list non-ABMS or non-AOA specialty boards unless the board meets the criteria set forth in the NC Medical Board’s Advertising and Publicity Position Statement.

Primary/SubspecialtyYear
Critical Care Medicine2009
Internal Medicine2006
Pulmonary Diseases2008

Area of Practice

Area Of PracticePrimary
Pulmonary Disease and Critical Care, Internal MedicineYes

Current Membership in Medical Professional Organizations

Membership
None Reported

Honors & Awards

Honor/AwardGiven ByDate
None Reported

Public Service

Name of ClinicService DescriptionDate
None Reported

Current Academic Appointments

TitleInstitutionCity, State, Country
None Reported

Publications

Title
None Reported

Section 1: Adverse Actions

North Carolina Medical Board Public Actions

DateDescriptionLink
None Reported

Other Regulatory Board or Agency Public Actions

DateName of Board/AgencyAction TakenLink
None Reported

Health Care Institution Suspensions and Revocations

DateHealth Care InstitutionAction Taken
None Reported

Section 2: Administrative Actions

Actions listed in this section are considered non-disciplinary by the Board. In situations where administrative actions are taken, the licensee may not have met certain statutory requirements or may have failed to follow correct administrative procedures.

North Carolina Medical Board Reentry Agreement

DateDescriptionLink
None Reported

North Carolina Special Purpose Licensing Agreement

DateDescriptionLink
None Reported

Malpractice Information

The Board is currently reviewing the care that led to this payment.

Incident DatePayment DateArea of PracticeCity, State, CountryResponse
None Reported

Misdemeanor/DUI/DWI Conviction Information

Conviction DateConvictionJurisdictionSentence
None Reported

Felony Conviction Information

Conviction DateConvictionJurisdictionSentence
None Reported
Information loaded from this database is current as of 8/21/2026 1:38:51 AM

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