Department of State
Board of Medicine
BHAVANI DURGA VIETLA
Medical Physician And Surgeon
License number
MD068895L
Date granted
03/22/2000
Date expires
12/31/2000
Class
Medical Physician And Surgeon
Status
Inactive
Address
NEW BRUNSWICK NJ 08902
medicinepa.com
ID 37685907
LAST UPDATED 2026-06-11 21:41:30 UTC
LAST UPDATED 2026-06-11 21:41:30 UTC
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