BHASKER RAO KOPPULA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036166661

License Status

ACTIVE

Business

Title

First Name

BHASKER RAO

Last Name

KOPPULA

Business Name

BHASKER RAO KOPPULA MD

Original Issue Date

08/22/2023

Effective Date

08/22/2023

Expiration Date

07/31/2026

City

SALT LAKE CITY

State

Zip

84106

Ever Disciplined

LastModifiedDate

08/22/2023