RAGHURAM PRASAD MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****65

License Status

ACTIVE

Business

First Name

RAGHURAM

Last Name

PRASAD

Suffix

Business Name

RAGHURAM PRASAD MD

Original Issue Date

12/04/2006

Effective Date

07/28/2023

Expiration Date

07/31/2026

City

PHILADELPHIA

State

Zip

19104

County

PENNSYLVANIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/28/2023