BHARGAVA NM GANNAVARAPU MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****04

License Status

ACTIVE

Business

Title

First Name

BHARGAVA

Middle

Last Name

GANNAVARAPU

Business Name

BHARGAVA NM GANNAVARAPU MD

Original Issue Date

09/29/2014

Effective Date

05/11/2023

Expiration Date

07/31/2026

City

SAN JOSE

State

Zip

95135

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/11/2023