SOUMIYA PRAKASAM MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036125115

License Status

ACTIVE

Business

First Name

SOUMIYA

Last Name

PRAKASAM

Suffix

Business Name

SOUMIYA PRAKASAM MD

Original Issue Date

03/04/2010

Effective Date

05/09/2025

Expiration Date

07/31/2026

City

SAN JOSE

State

Zip

95136

Ever Disciplined

LastModifiedDate

05/09/2025