RAVALI POREDDY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036165560

License Status

ACTIVE

Business

Title

First Name

RAVALI

Last Name

POREDDY

Business Name

RAVALI POREDDY MD

Original Issue Date

06/28/2023

Effective Date

06/28/2023

Expiration Date

07/31/2026

City

COLUMBIA

State

Zip

65203

Ever Disciplined

LastModifiedDate

07/14/2023