Koustubh Kondapalli
ActiveCalifornia license A204434
License
- Licensed by
- Medical Board of California
- License number
- A204434
- Status
- Active (Current)
- First issued
- August 7, 2025
- Expires
- October 31, 2027
- License holder
- Koustubh Kondapalli
- Entity type
- Individual
Classifications
- Physician and Surgeon A Physicians & Surgeons
More from the license record
- License type code
- 8002
Contact
4109 E Redwood Ln
Phoenix, AZ 85048-7023
Phoenix, AZ 85048-7023
Maricopa County