VIVEK REDDY MALLADI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036127831

License Status

ACTIVE

Business

Title

First Name

VIVEK

Middle

REDDY

Last Name

MALLADI

Business Name

VIVEK REDDY MALLADI MD

Original Issue Date

05/11/2011

Effective Date

04/10/2023

Expiration Date

07/31/2026

City

GILBERT

State

Zip

85297

County

ARIZONA

Ever Disciplined

LastModifiedDate

04/10/2023