| Physician Search | ||
| Physician Records |
| Physician Last Name: | Sangavaram | |||
| Physician First Name: | Kristappa | |||
| Physician Middle Name: | ||||
| Address: | Address redacted | |||
| License Number: | 133746 | |||
| License Type: | MD | |||
| Year of Birth: | 1944 | |||
| Effective Date: | 11/22/2021 | |||
| Action Description for DOH Webpage: | License surrender. | |||
| Misconduct Description for DOH Webpage: | The physician did not contest the charge of committing professional misconduct by having been disciplined by the New Jersey State Board of Medical Examiners for failing to cooperate with the New Jersey Board’s July 23, 2014 Consent Order. | |||
| License Limitations or Conditions for DOH Webpage: | ||||
| Board Order: |
|
