KARTIKEYA PRAKASH KANTAWALA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036173600

License Status

ACTIVE

Business

Title

First Name

KARTIKEYA

Middle

PRAKASH

Last Name

KANTAWALA

Business Name

KARTIKEYA PRAKASH KANTAWALA MD

Original Issue Date

02/03/2025

Effective Date

02/03/2025

Expiration Date

07/31/2026

City

ARDMORE

State

Zip

19003

Ever Disciplined

LastModifiedDate

02/03/2025