BHARGAVA NM GANNAVARAPU MD - Medical Doctor License in California | # 33*****04

BHARGAVA NM GANNAVARAPU MD

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****04

License Status

ACTIVE

Business

N

Title

MD

First Name

BHARGAVA

Middle

NM

Last Name

GANNAVARAPU

Business Name

BHARGAVA NM GANNAVARAPU MD

Original Issue Date

09/29/2014

Effective Date

05/11/2023

Expiration Date

07/31/2026

State

CA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

N

LastModifiedDate

05/11/2023