ANITHA NIMMAGADDA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****27

License Status

ACTIVE

Business

First Name

ANITHA

Last Name

NIMMAGADDA

Suffix

Business Name

ANITHA NIMMAGADDA MD

Original Issue Date

06/08/2009

Effective Date

04/18/2023

Expiration Date

07/31/2026

City

SANTA MONICA

State

Zip

90403

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/18/2023