PRANAVI SANKA BAVISHI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036170167

License Status

ACTIVE

Business

Title

First Name

PRANAVI

Middle

SANKA

Last Name

BAVISHI

Business Name

PRANAVI SANKA BAVISHI MD

Original Issue Date

05/06/2024

Effective Date

05/06/2024

Expiration Date

07/31/2026

City

PROVIDENCE

State

Zip

02908

Ever Disciplined

LastModifiedDate

05/02/2024