NAVEEN PENMASTA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036163173

License Status

ACTIVE

Business

Title

First Name

NAVEEN

Last Name

PENMASTA

Business Name

NAVEEN PENMASTA MD

Original Issue Date

12/14/2022

Effective Date

07/25/2023

Expiration Date

07/31/2026

City

ASHBURN

State

Zip

20148

Ever Disciplined

LastModifiedDate

07/25/2023