AJIT INDAVARAPU MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****35

License Status

ACTIVE

Business

Title

First Name

AJIT

Last Name

INDAVARAPU

Business Name

AJIT INDAVARAPU MD

Original Issue Date

07/06/2016

Effective Date

08/17/2023

Expiration Date

07/31/2026

City

MINNEAPOLIS

State

Zip

55401

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021