VIJAY KUMAR BODUKAM MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036177962

License Status

ACTIVE

Business

Title

First Name

VIJAY KUMAR

Last Name

BODUKAM

Business Name

VIJAY KUMAR BODUKAM MD

Original Issue Date

11/17/2025

Effective Date

11/17/2025

Expiration Date

07/31/2026

City

EMERYVILLE

State

Zip

94608

Ever Disciplined

LastModifiedDate

11/17/2025