DEEPAK KOLAGATLA REDDY DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036144196

License Status

ACTIVE

Business

Title

First Name

DEEPAK

Middle

KOLAGATLA

Last Name

REDDY

Business Name

DEEPAK KOLAGATLA REDDY DO

Original Issue Date

08/25/2017

Effective Date

04/08/2023

Expiration Date

07/31/2026

City

ONEIDA

State

Zip

37841

Ever Disciplined

LastModifiedDate

04/08/2023