publications.tnsosfiles.com...2019/05/28 · declaratory order finding compliance with all...

_ ST A TE OF TENNESSEE DEPARTMENT OF HEALTH

IN THE MATTER OF: ) )

P. LAXMINARAYAN BHANDARI, M.D.) PETITIONER )

MEMPHIS, TN

PETITION FOR DECLARATORY · ORDER

) .

) ) ) )

BEFORE THE TENNESSEE BOARD OF MEDICAL EXAMINERS

DOCKET NO.: 17.18- 158174A

NOTICE OF FILING

The State of Tennessee, by and through the Office of General Counsel, hereby files the

attached Petition for Declaratory Order which was intended as Exhibit A to the previo.usly~led ~·~~ ::0 ·~ ::.=J ~

Notice of Hearing, but inadvertently omitted. '::'~ ~< t N -< 0

0 ....,, . '"" Respectfully submitted this the--2D__ day of May, 2019. w

N w

L-i Mary K herine Bratton, BPR # 030083 __ , f--- -::

{_) " Chief Deputy General Counsel t--.-. u·-: ( ·--= - Tennessee Department of Health

il-Office of General Counsel 665 Mainstream Drive

.-.:.1 Second Floor \.. ',"

-- Nashville, Tennessee 37243 ' -- (615) 741-1611 ( ~. ' [__: l~--

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CERTIFICATE OF SERVICE

The undersigned hereby certifies that a true and correct copy of this document has been

served upon Respondent, P. Laxminarayan Bhandari , M.D., through Respondent's counsel , James

C. Bradshaw, III , Wyatt, Tarrant & Combs, LLP, 333 Commerce Street, Suite 1400, Nashville,

TN 37201 by delivering the same in the United States Mail, Certified Number

701 i,o"'15000C:0 b$cJ7 7o !.,»- , return receipt requested, and United States First Class Postage

Pre-Paid Mail, with sufficient postage thereon to reach its destination.

Thisg.\,.- day of ~·-=-- - --' 201~!_.

Chief Deputy General Counsel Tennessee Department of Health

BEFORE THE TENNESSEE BOARD OF MEDICAL EXAMINERS

IN THE MATTER OF: ) )

P. LAXMINARAYAN BHANDARI, M.D., ) )

Case No: -------

1.

2.

Petitioner. ) )

PETITION FOR DECLARATORY ORDER

Petitioner's Name: Address:

Telephone Number:

Petitioner's Attorney's Name: Address:

Telephone Number: Email:

Panambur Laxminarayan Bhandari, M.D. 141 N Manassas St., Apt 4A Memphis, TN 3 81 05 (610) 202-7938

James C. Bradshaw HJ Wyatt, Tarrant & Combs, LLP 333 Commerce Street, Suite 1400 Nashville, TN 37201 (615) 244-0020 / (615) 251-6683 direct [email protected]

3. Organization, if any, that Petitioner Represents:

None/Not Applicable

4. Statement of .Facts:

4.1 Dr. Bhandari presented an application for a license to practice medicine in the

State of Tennessee to the Tennessee Board of Medical Examiners ("TBME" or the "Board") in

January of 2019. (See attached Exhibit A.)

4.2 By letter dated March 6, 20 I 9, the Board responded to Dr. Bhandari's application

with a request for a personal interview on March 19, 2019. (See attached Exhibit B).

4.3 The letter states that the interview is a prerequisite for licensure because Dr.

Bhandari "has not completed 3 years of a US residency training program in one discipline and is

not currently ABMS Board Cettified". (Id.)

61819540.1

4.4 On March 19, 2019, Dr. Bhandari appeared before the Board for a personal

interview, at which time the Board tabled his application to allow him to file a Petition for

Declaratory Order requesting that the Board find his participation in and completion of three (3)

fellowship programs to be an equivalent to the training required under T.C.A. §63-7-

207(a)(2)(F).

4.5 Dr. Bhandari has applied for a Tennessee medical license under T.C.A. § 63-6-

207(a)(2) and the provisions of TBME Rule 0880-02-.04, which detail the medical licensure

process for international medical school graduates. Dr. Bhandari has provided all infom1ation

required to meet each element of the statute and regulatory rule. In particular, Ruic 0880-02-

,04(5) requires that the applicant "submit evidence satisfactory to the Board of successful

completion of a three (3) year residency program approved by the American Medical

Association or its extant accreditation program for medical education or its successor," to include

"a notarized certificate of completion and a letter attesting to satisfactory completion issued by

the director of the program which shows that the residency was completed in one (I) discipline."

4.6 As demonstrated by the documentation provided in Collective Exhibits C and D,

attached hereto, Dr. Bhandari has met and exceeded this requirement. See Collective Exhibits C

and D, which include: (I) certified copy of a Ce1tificate of Faithful and Satisfactory Completion

of a lwo and a half (2 ½) year fellowship as a Senior Fellow in Hand and Microsurgery from The

University of Louisville School of Medicine, from January 11, 2016 to June 30, 2018 (Collective

Exhibit C); and (2) letters from Sonia Alvarez, M.D., FACS, Associate Professor of the

Depatiment of Plastic Surgery at the University of Tennessee Health Science Center College of

Medicine and from Robe1i D. Wallace, M.D., Professor and Chair of the Department of Plastic

Surgery at the University of Tennessee Health Science Center of Medicine evidencing Dr.

Bhandari's current participation in and anticipated successful completion of a one (I) year

2

fellowship in Pediatric Craniofacial surgery at the University of Tennessee Health Science

Center College of Medicine in June of 20 l 9 (Collective Exhibit D).

4.7 Rule 0880-02-.04(5) also provides that an applicant who holds a specially board

certification may be deemed to have satisfied the aforementioned residency requirement "if the

specialty board is recognized and is a member of the American Board of Medical Specialties."

There is no specialty board ce1tification available to Dr. Bhandari in his chosen specialty of

plastic surgery, rendering the "deeming" language of Rule 0880-02-.04(5) not applicable to this

Petition. The Board's rules do not require specialty board certification, although Dr. Bhandari

was ce1tificd as a Master of Plastic and Reconstructive Surgery in India, his country of origin, in

July of 2014. See Collective Exhibit C.

4.8 Dr. Bhandari holds a full unrestricted medical license in the state of Ohio (Ohio

license number 35.134122).

4.9 Dr. Bhandari holds a full and restricted medical license in the state of Kentucky

(Kentucky license number 51853).

5. Requested Relief. Dr. Bhandari respectfully requests that the Board grant this Petition,

convene a contested case hearing and, upon presentation of evidence and testimony from Dr.

Bhandari and his witnesses, find that Dr. Ahandari has met the criteria under its Rule 0880-02-

.04 and T.C.A. § 63-6-207(a)(2), and accordingly, issue Dr. Bhandari a license to practice

medicine in the State of Tennessee.

6. Citation to Statute, Rule, or Order That is the Subject of this Petition .

6.1 Board Rule 0880-02- .07( 4) provides: "Any applicant who has successfully

complied with all requirements of the rules governing the licensurc ... process for the type of

licensure .. . applied for shall be issued a license ... to practice medicine in Tennessee," with

certain exceptions.

3

6.2 The Board has requested more information in support of Dr. Bhandari's

application for a Tennessee medical license because he has "not completed 3 years of a US

residency training program in one discipline." (Exhibit I3).

6.3 The Policies and Procedures of The Accreditation Council for Graduate Medical

Education (ACGME) apply to the broad continuum of education and training programs available

to physicians following undergraduate medical education and embraces residencies and

fellowships . (ACGME Policies and Procedures, February 6, 2016}. The ACGME defines

"graduate medical education" as a "period of didactic and clinical education in a medical

specialty following undergraduate medical education and which prepares physicians for the

independent practice of medicine in that specialty." (ACGME Glossary of Terms, July 1, 2013).

A "Residency" is defined as "a program accredited to provide a structured educational

experience designed to conform to the Program Requirements of a particular specialty." (Id.) A

"Resident" is defined as "any physician in an accredited graduate medical education program,

including interns, residents and fellows." (id.) The ACGME defines "Fellowship"

interchangeably with "Subspecialty Program" and "Fellow" interchangeably with "Subspecialty

Resident." (Id.)

6.4 Since successfully completing medical school, becoming licensed to practice

medicine and obtaining a specialty certification in plastic and rcconstructive surgery in India, Dr.

Bhandari has engaged in a significant course of subspecialty training in plastic surgery in the

Unitt:<l States, including a 30-month fellowship in Hand and Microsurgery from the Christine M.

Kleinert Institute at the University of Louisville, and a 12-month fellowship in Pediatric

Craniofacial Surgery from the Department of Plastic Surgery at the University of Tennessee

I lealth Science Center College of Medicine.

4

6.5 Dr. Bhandari respectfully submits that his post-graduate education and training in

U.S. ACGME accredited programs meets or exceeds the educational and training criteria under

the statute and the Board's Rules. Dr. Bhandari, therefore, respectfully petitions the Board under

Rule 0880-02-.1 l (7) and Division of Health Related Boards Rule 1200-l 0-01-.11 for a

Declaratory Order finding compliance with all requirements and granting his application for a

Tennessee Medical License.

6.6 As of June 2019, Dr. Bhandari will have completed more than 3 years of post-

graduate training in sub-specialty medical fellowships at the University of Louisville and at the

University of Tennessee Health Science Center College of Medicine in addition to the extensive

experience and training he received in India and the Netherlands before moving to Tennessee.

Dr. Bhandari respectfully submits that having met all requirements for issuance of a medical

license, and absent any contrary finding by the Board, the Board should grant his application and

issue him a medical license fmihwith under Board Rule 0880-02-.07(4).

7. Effect on Dr. Bhandari of Board's Failure to Issue License. Dr. Bhandari is applying

for a Tennessee medical license because he is under "serious consideration" for a position as

Assistant Professor in the Department of Plastic Surgery at the University of Tennessee Health

Science Center College of Medicine, where he will f:ill an important role focusing on hand

surgery per Dr. Robert Wallace, the Chair of UTHSC's Department of Plastic Surgery (Exhibit

D). According to Dr. Wallace, this is an area of the specialty that is "extremely difficult" to fill

at the faculty level and there is a need for a surgeon of his training and skill at UTHSC. Id. Dr.

Bhandari will be unable to fill that position unless and until he is issued a license to practice

medicine in the State of Tennessee.

WHEREFORE, Petitioner Panambur Laxminarayan Bhandari, M.D. respectfully

requests that the Board grant this Pt:tition for Declaratory Order and convene a contested case

5

hearing at its May 2019 meeting for the purpose of hearing proof from Dr. Bhandari that will

establish his compliance with the requirements for issuance of a medical license in Tennessee.

Respectfully submitted,

Panambur Laxminarayan Bhandari, M.D. March _.I&, 2019

es C. Bradshaw III, BPR 13170 TT, TARRANT & COMBS, LLP

333 Commerce Street, Suite 1400 Nas ville, Tennessee 37201 615. 44 .0020 I Facsimile: 615.256.1726 [email protected]

Counsel for Petitioner

CERTIFICATE OF SERVICE

I hereby certify that the foregoing document was sent via hand delivery on this the 191h

day of March, 2019 to:

Mary Katherine Bratton Chief Deputy General Counsel Office of General Counsel Tennessee Department of Health 220 Athens Way, Suite 210 Nashville, Tennessee 37243

61819540.1

6

.. .... ----···-·---·•· ...... ~ -- ·•·· .. - - ...... .. , ,. .. ...... ~~ . ·~------~--........ -~ -~---......,.~---

3/1/2018

To: Tennessee Board of Medical Examiners 665 Mainstream Dr, Nashville, TN 37228

Respected Board Members,

Sub: Application for physician licensure

It is with great interest and enthusiasm that I arn applying for the physician licensure at Tennessee state.

I did my medical school at Kasturba Medical College, Manipal University, India. Manipal university is among the top ten universities in India, recognized as "Institute to Eminence" by Government of India. After rny medical school, I did ten years of postgraduate medical training and I am currently in my 11th year of training.

After completion of intern year at Kasturba medical college, I did three years of General surgery and three years of Plastic surgery residencies in Calicut medical college, India. Calicut medical college is among the largest public hospitals in India and I had the opportunities to perform a large number of cases across the length and breadth of Plastic surgery and Hand surgery.

Following this, I went to Netherlands for a fellowship in Facial Plastic surgery under Dr. van der Meulen, the president of Dutch association of Facial Plastic surgeons. Later I went to Kleinert Institute, University of Louisville, KY for training in Hand and Microsurgery- where I completed two and a half year of high quality training. Kleinert institute is amongst the most sought after fellowship programs, being amongst the largest and the oldest. Trainees come from all over the world to get training here. I received extensive and comprehensive training in hand and upper extremity surgery including hand trauma, occupational injuries, arthritis, neuropathy, replantation and revascularization surgery.

Currently I am in University of Tennessee, department of Plastic Surgery as a fellow in Pediatric Cranlofaclal surgery. All me residencies and fellowships have been in high volume centers giving me wide clinical exposure and rich surgical experience. I have a cumulative experience of over 7000 surgeries and treating over 30,000 patients. I have attached my surgical logs from Plastic surgery residency and Hand surgery fellowship for your reference. I have also attached certificates of my residencies and fellowships.

I humbly request you to consider my application and grant me the waiver. It would be an honor for me to serve the people of the Tennessee at the University of Tennessee, Memphis and associated hospi1als by offering my expertise in Hand Surgery. Currently, there is no Plastic surgery- Hand surgery faculty at UT- Plastic Surgery department and it would be my privilege to establish my practice here.

Thank you

Sincerely, Dr. Panambur Laxminarayan Bhandari.

EXHIBIT A

1/28/19 5:49 PM

Application Detail

Application Summary

License Type: Medical Doctor

Page 1 of 8

Application : Initial Mandatory Practitioner Profile Questionnaire

Application Date: 01/28/2019 (mm/dd/yyyy)

Application Questions

Do you hold a certification, specialty or No subspecialty from any specialty board recognized by the board regulating the profession for which you are licensed?(This question refers to any certification, specialty or subspecialty from any specialty board recognized by the American Medical Association, American Osteopathic Association , American Podiatry Association, American Chiropractic Association, American Dental Association, APN certifications or any other specialty certifying body as determined by your Tennessee licensing board.)

Do you currently hold staff privileges at a No hospital?

Do you participate in any managed care No plans?

Do you participate in any TennCare plan(s)? No

Within the previous ten (10) years, have you No ever had any final disciplinary action taken against you by an agency regulating your license, in this state or any other jurisdiction?(The term final means the matter was fully adjudicated at a hearing and the appeal's period expired, or that the applicable board issued an agreed order or consent decree. The term disciplinary action includes, but is not limited to: • Probation • Limitation/Restriction • Suspension • Revocation • Voluntary relinquishment in lieu of disciplinary action • Compulsory surrender of license or privilege

EXHIBIT A

1128119 5:49 PM

• Civil or other monetary fine or penalty • Restriction of privileges in lieu of, or in settlement of, a pending disciplinary case related to competence or character)

Within the previous ten (10) years, have you No ever had your hospital privileges revoked or involuntarily restricted for reasons related to competence or character by the hospital's governing body?(The term final means the matter was fully adjudicated at a hearing and the appeal's period expired, or that the applicable governing body or the hospital issued an agreed order or consent decree. The term disciplinary action against your privileges includes, but is not limited to: • Curtailed • Limited • Suspended • Revoked • Any other adverse action taken against a privilege by a medical/health related institution • Compulsory surrender of license or privilege • Civil or other monetary fine or penalty.)

Within the previous ten (10) years, have you No ever been asked to or allowed to resign from or had any medical staff privileges restricted or not renewed by any hospital in lieu of or in settlement of a pending disciplinary action related to competence or character?(The term final means the matter was fully adjudicated at a hearing and the appeal's period expired, or that the applicable governing body or the hospital issued an agreed order or consent decree. The term disciplinary action includes, but is not limited to: • Resignation from or non-renewal of medical staff membership at a hospital in lieu of, or in settlement of, a pending disciplinary case related to competence or character • Restriction of privileges in lieu of, or in settlement of, a pending disciplinary case related to competence or character)

Have you within the most recent ten (10) No years, been found guilty, regardless of whether adjudication of guilt was withheld, or pied guilty or nolo contendere to a criminal misdemeanor or felony in any jurisdiction?(This part requires you to report any state or federal felony criminal offense

Page 2 of 8

1/28/19 5:49 PM

also requires the reporting of misdemeanor offenses, regardless of classification, in which any element of the offense involves sex; alcohol or drugs; physical injury or threat of injury to any person; abuse or neglect of any minor, spouse or the elderly; fraud or theft in Tennessee or another jurisdiction; or unlicensed practice within the most recent ten (10) years. If any misdemeanor conviction reported is expunged, a r.opy of the order of expungement signed by the judge must be submitted to the Department before the conviction will be removed from any profile.)

Page 3 of 8

Have you had a medical malpractice court No judgment, arbitration award, or settlement against you since May 19, 1998?(You are required to indicate all medical malpractice court judgments, arbitration awards, or settlements in which a payment was awarded to a complaining party beginning with judgments or settlements entered or executed within the previous ten (10) years . That means if the act or event leading to the claim occurred greater than ten (10) years but was finally adjudicated against you within the last ten (10) years, you must indicate that claim in the space provided. JUDGMENTS OR SETTLEMENTS BELOW THE FOLLOWING AMOUNTS ARE NOT REQUIRED TO BE SUBMITTED. Pending malpractice claims are not required to be reported unless/until final adjudication against you. A) For Medical Doctors and Osteopathic Physicians, judgments or settlements below $75,000 are not required to be B) For Chiropractors, judgments or

settlements below $50,000 are not required to be submitted . submitted. C) For Dentists, judgments or settlements

below $25,000 are not required to be submitted. D) For all other professions, judgments or

settlements below $10,000 are not required to be submitted .)

Addresses

Practice Address

Name:

Address:

Bhandari, Panambur Laxminarayan

Department of Plastic Surgery

1/28/19 5:49 PM

Phone Number:

Extension:

E-mail Address:

Practice Address Questions for Clarification

910 Madison Ave, Room 315

SHELBY

Memphis, TN

38163

us

901-448-1350

[email protected]

Is your practice address your home No address?

Medical, Professional or Training Schools

What school(s)/educational programs have Kasturba Medical College you attended?

City: Mangalore

State: Other, please specify

If chose other, please specify: Karnataka

Country: India

Date graduated from institution: 03/28/2008 (mm/dd/yyyy)

Page 4 of 8

What type of degree do you hold from the Bachelor of Medicine, Bachelor of Surgery institution?

Graduate Medical Education or other Graduate-Level Training 1

Institution you attended for medical/professional graduate and/or postgraduate training (internship, residency, fellowship or other program).

Specialty Area:

State:

If chose other. please specify:

Date attendance started at institution:

Date attendance ended at institution:

University of Calicut

General Surgery

Other, please specify

Kerala

06/10/2008 (mm/dd/yyyy)

06/09/2011 (mm/dd/yyyy)

1/28/19 5:49 PM Page 5 of 8



Specialty Area :

State:

If chose other, please specify:



Kerala University of Health Sciences

Plastic Surgery

Other, please specify

Kerala

08/01/2011 (mm/dd/yyyy)

07/31/2014 (mm/dd/yyyy)



Location of Institution:

Specialty Area:

State:



Christine M Kleinert Institute of Hand and Microsurgery/ University of Louisville

Louisville

Hand ans Microsurgery

Kentucky

01/11/2016 (mm/dd/yyyy)

06/30/2018 (mm/dd/yyyy)



Specialty Area:

State:



Publications (optional) 1.

Title of publication:

Where published:

University of Tennessee Health Science Center

Craniofacial Surgery

Tennessee

07 /01/2018 ( mm/dd/yyyy)

06/30/2019 (mm/dd/yyyy)

Comparative study of peripheral blood smear, quantitative buffy coat and modified centrifuged

Indian Journal of Pathology and Microbiology

1/28/19 5:49 PM

Date published:

Publications (optional) 2


Where published:

Date published:



Where published:

Date published:



Where published:

Date published:



Where published:

Date published:



Where published:

Date published:



Where published:

Date published:



Page 6 of 8

01/01/2008 (mm/dd/yyyy)

Appendicitis as a cause of intestinal strangulation: a case report and review

World Journal of Emergency Surgery

10/10/2009 (mm/dd/yyyy)

Novel stapling device for open and thoracoscopic esophageal anastomosis

Hypothesis

01/01/2011 (mm/dd/yyyy)

Primary Cerebellopontine Angle Melanoma: A Case Report and Review

Turkish Neurosurgery

10/27/2010 (mm/dd/yyyy)

SUPERNUMERARY FLEXOR CARPI ULNARIS CASE REPORT AND REVIEW

Hand Surgery

05/20/2013 (mm/dd/yyyy)

Use of nylon tie-strips for tie over dressing

Journal of Plastic Reconstructive and Aesthetic Surgery

06/29/2013 (mm/dd/yyyy)

Lipoma causing Guyons canal syndrome: a case report and review

Plastic and Aesthetic Research

10/29/2014 (mm/dd/yyyy)

Progressive hemifacial atrophy with ciliary body atrophy and ocular hypotony

1 /28/19 5:49 PM


Where published:

Date published:



Where published:

Date published:



Where published:

Date published:



Where published:

Date published:



Where published:

Date published:



Where published:

Date published:

Publications (optional).14


Where published:

Page 7 of 8

Indian Journal of Ophthalmology

01/20/2015 (mm/dd/yyyy)

Comparative study of collagen and paraffin gauze dressing on skin graft donor site.

Indian Journal of Burns

12/11/2015 (mm/dd/yyyy)

Pedicled Oblique Para-Umbilical Perforator (OPUP) Flap for Upper Limb Reconstruction

Journal of Hand Surgery- Asia Pacific

07/21/2015 (mm/dd/yyyy)

Negative-Pressure Wound Therapy for Extremities Using Collagen Powder and Sterile Glove

Indian Journal of Surgery

01/02/2017 (mm/dd/yyyy)

Anomalous muscle in carpal tunnel- report of two cases.

Journal of clinical diagnosis and research.

10/01/2017 (mm/dd/yyyy)

Degree and location of metacarpal angulations

Plastic and Aesthetic Research

10/20/2017 (mm/dd/yyyy)

Potential for Spread of Hand Infection after Elastic Exsanguination

Surgical Infections

1/28/19 5:49 PM

Date published:



Where published:

Date published:

Page 8 of 8

05/23/2018 (mm/dd/yyyy)

Interposition Arthroplasty for Concomitant STT and CMC Arthritis

Techniques in Hand and Upper Extremity Surgery

11/30/2018 (mm/dd/yyyy)

Responsibility for Graduate Medical Education (optional)

Have you had the responsibility for graduate Yes medical education within the last ten ( 10) years?

Faculty Appointments (optional)

Attestation

Date of Profile Submission:

Attestation

01/28/2019 (mm/dd/yyyy)

PRACTITIONER PROFILE ATTESTATION: I affirm these statements are true and correct and recognize that providing false information may result in disciplinary action against my license pursuant to T.C.A. §§ 63-32-113 and/or 63-32-118. I understand that by submitting this profile questionnaire, I realize that I willnot receive a confirmation report before this information is published online.

BILL HASLAM GOVERNOR

STATE OF TENNESSEE DEPARTMENT OF HEALTH

Bureau of Health Licensure and Regulation Division of Health Related Boards

665 Mainstream Drive Nashville, TN 37243

JOHN J. DREYZEHNER, MD, MPH, FACOEM COMMISSIONER

BOARD OF MEDICAL EXAMINERS

March 6, 2019

Panambur Laxminarayan Bhandari MD 141 N Manassas St Apt 4A Memphis, TN 38105

Re: Your Application for a Tennessee Medical License

Dear Dr. Bhandari:

Your application for a Tennessee medical license has been received in the Board's administrative office and reviewed by the Board 's consultant, Rene Saunders, M.D. As a result of Dr. Saunder's review, she has asked that you appear for an interview when the Board meets next on March 19, 2019 at 8:30 a.m . central standard time at 665 Mainstream Drive, Metro Center, Nashville, Tennessee 37243 . The interview is a prerequisite for licensure for the following reason(s):

• Has not completed 3 years of a US residency training program in one discipline and is not currently ABMS Board Certified.

Please contact Ms. Courtney Lewis by e-mail at Courtney.Lewis@tn .gov or Fax 615-253·4484 to confirm whether you will appear before the Board . If you are unable to attend the meeting mentioned above, the next scheduled meeting will be May 28, 2019 at the same location. Should you fail to appear or notify this office of your intention to withd raw your application, the Board can and will take whatever action it deems necessary (which could include denying your application) based on the content of your application alone. Notice is hereby given to you that should the Board deny your application, adverse consequences may result which include, but are not limited to, reporting the denial to the National Practitioner Data Bank.

Sincerely,

Courtney Lewis, Administrator Board of Medical Examiners

Cc: Licensure file

61017560.1 EXHIBIT B

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EXHIBIT C

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l r-:t .:.~-{-~1.·•:.~. ;.iJf•f; f•i ; r ··· ·· ............. __ "' __ _

I .l\.._VM·INARA'1 AN BPAN'·D-\A' ,0,l p·, _,.l'~l:-.. /,..: ... ·.n. ..... , · .. · .. I.,., _, __ . I . . . ...: .... li."'t... . ,; _. · ·. 1.\-,.~ .·

MASTE.f{ Of CHlRUREiEJ{Y (MClh) EN PLASTIC

AND R.ECll:NSTRUCTIVE. SURGERY

.~/..?&'e, ,_o/flruH✓~?· .!%Joe✓1, ~,,,bft'-'>t/,~p-:, !0tdp- ,./tyyw-1)1.te.d' 0:l¥T✓IU✓U:'/<1J

REG.NO: 1150700011,

Tlll<ISSLJR 080590

INDIA

Dt\Tfa 21-0'.J-20 ! 5

,JUL'/, 20111,

GIVEN UNDER THE SEA!. OfTHf. lJNlVF.RSln'

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VtCE CHANCELLOR

EXHIBIT C

·; .. . ,,

riul.JNIVERSITYof TENf,fESSEE

HEAITII SCIENCE CEN.~n "--,R--- ---------- ---------- COLLEOE o/ MEDICINE

Department of Plastic Surgery 910 MadisQn Ave .. Suite 31 S

Memphis, TN 38163 Phone: (901) 448-iJ~0

r-a x: (901i 347--8295

January 7, 2019

Tennessee Board of Medical Examiners 665 Mainstream Drive, 2nd Floor Nashville, TN 37243

RE: Panambur Laxminarayan Bhandari

To Whom It May Concern:

I am writing this letter on behalf of Panambur Laxminarayan "Lax" Bhandari, MD. He is our current Pediatric craniofacial fellow at the University of Tennessee Health Science Center. Dr. Bhandari is applying for a medical licensure as a physician. T have worked with him in the clinical and office setting over the last year, Ile has demonstrated consistent solid and ethical judgment. He is professional and compassionate in his interactions with the patients and all members of the health care team. His technical skills are excellent and medical knowledge broad. He is the type of physician I would have no hesitation recommending to care for my own family. I give him my highest recommendation. Please contact me if any additional information or questions arise.

Sincerely,

Sonia M. Alvarez, M.D., FACS Assistant Professor Department of Plastic Surgery UT Health Science Center [email protected]

EXHIBIT D

• I

r,1,UNIVERSffYoJ nNNESSEE , .-' . ··- --___________ _

HEALTH SCIENCE CENTER ... - - ... . ------ -·

January 7, 2019

Tennessee Board of Medical Examiners 665 Mainstream Drive, 2nd Floor Nashville, TN 37243

RE: Laxminarayan Bhandari, MD

To Whom It May Concern:

COLLEGE of MED!CINE

Department of Plastic Surgery 91 0 Madi1on Ave., Suite 31 S

Memphis TN 38163 Phone: (901) 448-1350

Fa,: (901) 3~"/-8295

I am writing this letter regarding T ,axminarayan Bhandari, MD, current fellow in our pediatric craniofacial fellowship program at the University of Tennessee Health Science Center. Dr. Bhandari is applying for licensure as a physician. Dr. Bhandari will complete a one-year fellowship in pediatric craniofacial surgery June 30, 2019 after completing an thirty month fellowship in hand surgery with Kleinert Institute at the University of Louisville , Kentucky and his plastic surgery residency in India. Due to state to state medical license requirements, Dr. Bhandari has accepted a position in Kentucky in July 2019. Should he be granted a Tennessee medical license, he would be under serious consideration for a faculty position in hand surgery with our department. This is an area of our specialty that is extremely difficult to fill at the faculty level. Several attempts have been made to fill this position with no success. There is severe need for a hand surgery faculty in

our department.

Dr. Bhandari has performed in an outstanding manner. I have known Lax for approximately seven months and can state that his professional judgment, knowledge, ethical and moral character are above reproach. Faculty within our department holds him in high regard as well and would welcome him as faculty member in the future. He will make a fine addition to the Tennessee Board of Medical Examiners and I give you my highest recommendation. Should you have any questions or concerns, please do not hesitate to contact me.

Sincerely,

Robert D Wallace, M .D. Professor and Chair Department of Plastic Surgery UT Health Science Center

ROW/es

EXHIBIT D

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