ANAMIKA MINAMPALLY NAGAVENDER RAO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****53

License Status

NOT RENEWED

Business

Title

First Name

ANAMIKA

Middle

MINAMPALLY

Last Name

NAGAVENDER RAO

Business Name

ANAMIKA MINAMPALLY NAGAVENDER RAO MD

Original Issue Date

08/21/2008

Effective Date

07/29/2011

Expiration Date

07/31/2014

City

COPPELL

State

Zip

75019

County

TEXAS

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/11/2017