SAMYUKTA MALLADI DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036165102

License Status

ACTIVE

Business

Title

First Name

SAMYUKTA

Last Name

MALLADI

Business Name

SAMYUKTA MALLADI DO

Original Issue Date

06/09/2023

Effective Date

06/09/2023

Expiration Date

07/31/2026

City

HARTFORD

State

Zip

06103

Ever Disciplined

LastModifiedDate

06/09/2023