The holder whose full name is REDDY, VISHWANATH MUKKAMALLA,come from Bronx NY,hold the Physician license(NO.01054105A) which status is Expired Non-Renewable.
| Name | REDDY, VISHWANATH MUKKAMALLA |
|---|---|
| License Number | 01054105A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | Bronx |
| State | NY |