SHAKUMAR RAJESHKUMAR PATEL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****54

License Status

ACTIVE

Business

Title

First Name

SHAKUMAR

Middle

RAJESHKUMAR

Last Name

PATEL

Business Name

SHAKUMAR RAJESHKUMAR PATEL MD

Original Issue Date

08/18/2025

Effective Date

08/18/2025

Expiration Date

07/31/2026

City

VALPARAISO

State

Zip

46385

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/18/2025