SHIVAM SANDIP SHAH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036176672

License Status

ACTIVE

Business

Title

First Name

SHIVAM

Middle

SANDIP

Last Name

SHAH

Business Name

SHIVAM SANDIP SHAH MD

Original Issue Date

08/19/2025

Effective Date

08/19/2025

Expiration Date

07/31/2026

City

EMERYVILLE

State

Zip

94608

Ever Disciplined

LastModifiedDate

10/22/2025