SHAMA SANJIVAN RATHI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036158269

License Status

ACTIVE

Business

Title

First Name

SHAMA

Middle

SANJIVAN

Last Name

RATHI

Business Name

SHAMA SANJIVAN RATHI MD

Original Issue Date

09/12/2021

Effective Date

07/20/2023

Expiration Date

07/31/2026

City

SAINT PETERSBURG

State

Zip

33701

Ever Disciplined

LastModifiedDate

07/20/2023