SHIVAM DIXIT PATEL DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125077520

License Status

EXPIRED

Business

Title

First Name

SHIVAM

Middle

DIXIT

Last Name

PATEL

Business Name

SHIVAM DIXIT PATEL DO

Original Issue Date

06/23/2024

Effective Date

06/23/2024

Expiration Date

06/22/2025

City

SAN DIEGO

State

Zip

92101

Specialty/Qualifier

Physical Medicine and Rehabilitation

Ever Disciplined

LastModifiedDate

11/03/2025