FORAM RAJENDRA DESAI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036155510

License Status

ACTIVE

Business

Title

First Name

FORAM

Middle

RAJENDRA

Last Name

DESAI

Business Name

FORAM RAJENDRA DESAI MD

Original Issue Date

02/03/2021

Effective Date

06/19/2023

Expiration Date

07/31/2026

City

JERSEY CITY

State

Zip

07302

Ever Disciplined

LastModifiedDate

06/19/2023