Information as of 08/05/2020

Last Updated by Licensee on 03/08/2019

Nagaraja Vishakantaiah - MD
License#: 
Issue Date: 
2018-02625
10/10/2018
License Status: 
Expire Date:
Inactive  
08/01/2019  
 Public Action: Yes
 See: Actions-Adverse & Administrative Tab
Licensee General Information
Active License
Inactive License
Reason CodeLicense NumberSubcategoryIssue DateExpire Date
By Request2018-02625 10/10/201808/01/2019
North Carolina Hospital Admitting Privileges
Out of State Active/Inactive Licenses
Illinois
Pennsylvania
Virginia
Out of Country Active/Inactive Licenses
India