SREENIVASULU REDDY GANGASANI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036167689

License Status

ACTIVE

Business

Title

First Name

SREENIVASULU

Middle

REDDY

Last Name

GANGASANI

Business Name

SREENIVASULU REDDY GANGASANI MD

Original Issue Date

11/15/2023

Effective Date

11/15/2023

Expiration Date

07/31/2026

City

DULUTH

State

Zip

30097

Ever Disciplined

LastModifiedDate

11/15/2023