DIVAKARA KEDLAYA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036147433

License Status

ACTIVE

Business

Title

First Name

DIVAKARA

Last Name

KEDLAYA

Business Name

DIVAKARA KEDLAYA MD

Original Issue Date

09/18/2018

Effective Date

05/25/2023

Expiration Date

07/31/2026

City

NOVATO

State

Zip

94947

Ever Disciplined

LastModifiedDate

05/25/2023