PRAVEEN DANDAMUDI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036121111

License Status

ACTIVE

Business

First Name

PRAVEEN

Last Name

DANDAMUDI

Suffix

Business Name

PRAVEEN DANDAMUDI MD

Original Issue Date

06/05/2008

Effective Date

09/19/2023

Expiration Date

07/31/2026

City

NASHVILLE

State

Zip

37203

Ever Disciplined

LastModifiedDate

09/19/2023