PAVANKUMAR THOTA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036163639

License Status

ACTIVE

Business

Title

First Name

PAVANKUMAR

Last Name

THOTA

Business Name

PAVANKUMAR THOTA MD

Original Issue Date

02/09/2023

Effective Date

07/24/2023

Expiration Date

07/31/2026

City

NEW ORLEANS

State

Zip

70119

Ever Disciplined

LastModifiedDate

07/24/2023