PALANIKUMAR BALASUNDARAM MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****97

License Status

ACTIVE

Business

Title

First Name

PALANIKUMAR

Last Name

BALASUNDARAM

Business Name

PALANIKUMAR BALASUNDARAM MD

Original Issue Date

04/04/2023

Effective Date

04/04/2023

Expiration Date

07/31/2026

City

BRONX

State

Zip

10463

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/04/2023