VIVEK VANKAYALA REDDY MD - Medical Doctor License in Massachusetts | # 33*****33

VIVEK VANKAYALA REDDY MD

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****33

License Status

ACTIVE

Business

N

Title

MD

First Name

VIVEK

Middle

VANKAYALA

Last Name

REDDY

Business Name

VIVEK VANKAYALA REDDY MD

Original Issue Date

07/03/2023

Effective Date

07/03/2023

Expiration Date

07/31/2026

State

MA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

N

LastModifiedDate

07/03/2023