License holder summary

Jaya R Mallidi is a Board Of Registration In Medicine licensed to practice in Massachusetts. The address on file for Jaya R Mallidi is Baystate Medical Ctr/Med Edu Office, 759 Chestnut Street, Springfield 01199. This licensed professional license is current. The license was granted 07/11/2012 and expired on 01/07/2017.

Massachusetts

Division of Professional Licensure

Jaya R Mallidi
Board Of Registration In Medicine
License number
252857
Date granted
07/11/2012
Date expires
01/07/2017
Class
Board Of Registration In Medicine
Status
Active
Address
Baystate Medical Ctr/Med Edu Office, 759 Chestnut Street
licensingma.org
ID 41452433
LAST UPDATED 2026-05-27 14:45:41 UTC

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