GAVIND HABIB NIAMATALI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****81

License Status

ACTIVE

Business

Title

First Name

GAVIND

Middle

HABIB

Last Name

NIAMATALI

Business Name

GAVIND HABIB NIAMATALI MD

Original Issue Date

10/24/2022

Effective Date

08/05/2023

Expiration Date

07/31/2026

City

WESTMONT

State

Zip

60559

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/05/2023