SIDDHARTHA S SHAH MD - Medical Doctor License in New York | # 036078987

SIDDHARTHA S SHAH MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036078987

License Status

NOT RENEWED

Business

N

First Name

SIDDHARTHA S

Last Name

SHAH

Suffix

MD

Business Name

SIDDHARTHA S SHAH MD

Original Issue Date

06/09/1989

Effective Date

06/09/1989

Expiration Date

07/31/2002

State

NY

Ever Disciplined

N

LastModifiedDate

10/09/2006