License holder summary

Chandra S Reddivari is a Board Of Registration In Medicine licensed to practice in Massachusetts. The address on file for Chandra S Reddivari is Southcoast Physicians Group, 200 Mill Road, Suite 180, Fairhaven 02719. This licensed professional license is current. The license was granted 06/18/1997 and expired on 10/15/2016.

Massachusetts

Division of Professional Licensure

Chandra S Reddivari
Board Of Registration In Medicine
License number
152438
Date granted
06/18/1997
Date expires
10/15/2016
Class
Board Of Registration In Medicine
Status
Active
Address
Southcoast Physicians Group, 200 Mill Road, Suite 180
licensingma.org
ID 41470463
LAST UPDATED 2024-02-21 17:57:43 UTC

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