License holder summary

Shashi K. Polavarapu is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Shashi K. Polavarapu is Oaklawn Psychiatric Center, 2600 Oakland Avenue, Elkhart IN 46517. This licensed professional license is current. The license was granted 08/09/2005 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Shashi K. Polavarapu
Controlled Substance Registration - Physician
License number
01061114B
Date granted
08/09/2005
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Oaklawn Psychiatric Center, 2600 Oakland Avenue, Elkhart IN 46517
indianalicensing.org
ID 5848454
LAST UPDATED 2024-02-22 05:10:48 UTC

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