NIKHILESH PENMETSA RAJU MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036157916

License Status

ACTIVE

Business

Title

First Name

NIKHILESH

Middle

PENMETSA

Last Name

RAJU

Business Name

NIKHILESH PENMETSA RAJU MD

Original Issue Date

08/03/2021

Effective Date

04/11/2023

Expiration Date

07/31/2026

City

MASON

State

Zip

45040

Ever Disciplined

LastModifiedDate

04/05/2025