SHIMOGA RAMAIAH PRAKASH MD - Medical Doctor License in Indiana | # 036172622

SHIMOGA RAMAIAH PRAKASH MD

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036172622

License Status

ACTIVE

Business

N

Title

MD

First Name

SHIMOGA

Middle

RAMAIAH

Last Name

PRAKASH

Business Name

SHIMOGA RAMAIAH PRAKASH MD

Original Issue Date

11/04/2024

Effective Date

11/04/2024

Expiration Date

07/31/2026

State

IN

Ever Disciplined

N

LastModifiedDate

11/04/2024