RAJENDRA PRASAD TUMMALA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****95

License Status

ACTIVE

Business

First Name

RAJENDRA

Middle

PRASAD

Last Name

TUMMALA

Suffix

Business Name

RAJENDRA PRASAD TUMMALA MD

Original Issue Date

10/16/2001

Effective Date

04/24/2023

Expiration Date

07/31/2026

City

ROCKVILLE

State

Zip

20850

County

PENNSYLVANIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/24/2023