License holder summary

Gautham Subhash Gadiraju is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Gautham Subhash Gadiraju is North East Internal Medicine Associates, 2500 N. Detroit St., Lagrange IN 46761. This licensed professional license is current. The license was granted 02/18/2010 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Gautham Subhash Gadiraju
Controlled Substance Registration - Physician
License number
01067294B
Date granted
02/18/2010
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
North East Internal Medicine Associates, 2500 N. Detroit St., Lagrange IN 46761
indianalicensing.org
ID 5880974
LAST UPDATED 2024-02-25 17:54:38 UTC

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