NISHANTH VALLUMSETLA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****67

License Status

ACTIVE

Business

Title

First Name

NISHANTH

Last Name

VALLUMSETLA

Business Name

NISHANTH VALLUMSETLA MD

Original Issue Date

04/08/2022

Effective Date

06/07/2023

Expiration Date

07/31/2026

City

BROOKLYN

State

Zip

11225

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/07/2023