SUMANTH MULAMALLA MD - Medical Doctor License in Tennessee | # 33*****08

SUMANTH MULAMALLA MD

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****08

License Status

ACTIVE

Business

N

First Name

SUMANTH

Last Name

MULAMALLA

Suffix

MD

Business Name

SUMANTH MULAMALLA MD

Original Issue Date

09/18/2008

Effective Date

07/21/2023

Expiration Date

07/31/2026

State

TN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

N

LastModifiedDate

07/21/2023