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Basava
Basava
Vallabhaneni
Medical doctor
Shrewsbury, United States
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Florida Health Care Practitioner Data Portal
Full name
Basava Vallabhaneni
Job Title
Medical Doctor
Location
Shrewsbury, MA, USA
LIC ID
170898
Current License Expiration Date
31/01/2026
Original Date
30/01/2024
Professional Rank Code
ME
Effective Date
30/01/2024
Board Action Indicator
N
License Status Description
CLEAR
License Active Status Description
ACTIVE
Country Description
Out of State
Practice Location Address Line 1
19 Waterville Ln
Practice Location Address City
SHREWSBURY
Practice Location Address State
MA
Practice Location Address Zipcode
01545
Prescribing Indicator
N
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