GANGA PRABHAKAR MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****90

License Status

ACTIVE

Business

Title

First Name

GANGA

Last Name

PRABHAKAR

Business Name

GANGA PRABHAKAR MD

Original Issue Date

01/06/2020

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

WEST DES MOINES

State

Zip

50265

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2023