Indiana
Professional Licensing Agency
Premesh Malapati
Controlled Substance Registration - Physician
License number
01061879B
Date granted
03/15/2006
Date expires
10/31/2013
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Tatum Family Health Center, c/o Home Physicians 1619 W. 5th Avenue, Gary IN 46404
indianalicensing.org
ID 5857302
LAST UPDATED 2026-04-20 15:28:08 UTC
LAST UPDATED 2026-04-20 15:28:08 UTC
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