DIPEN V SHAH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036170028

License Status

ACTIVE

Business

Title

First Name

DIPEN

Middle

Last Name

SHAH

Business Name

DIPEN V SHAH MD

Original Issue Date

04/26/2024

Effective Date

04/26/2024

Expiration Date

07/31/2026

City

TERRE HAUTE

State

Zip

47802

Ever Disciplined

LastModifiedDate

12/30/2023