SRINU TAKKALLAPALLI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****30

License Status

ACTIVE

Business

First Name

SRINU

Last Name

TAKKALLAPALLI

Suffix

Business Name

SRINU TAKKALLAPALLI MD

Original Issue Date

11/15/2023

Effective Date

11/15/2023

Expiration Date

07/31/2026

City

SAN DIEGO

State

Zip

92130

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/15/2023