BALARAMA KRISHNA SURAPANENI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036174489

License Status

ACTIVE

Business

Title

First Name

BALARAMA

Middle

KRISHNA

Last Name

SURAPANENI

Business Name

BALARAMA KRISHNA SURAPANENI MD

Original Issue Date

04/01/2025

Effective Date

04/01/2025

Expiration Date

07/31/2026

City

TIFFIN

State

Zip

52340

Ever Disciplined

LastModifiedDate

04/01/2025