ABHIGNA KODALI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****83

License Status

ACTIVE

Business

Title

First Name

ABHIGNA

Last Name

KODALI

Business Name

ABHIGNA KODALI MD

Original Issue Date

06/08/2019

Effective Date

07/10/2023

Expiration Date

07/31/2026

City

BROOKLYN

State

Zip

11220

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/10/2023