SHIBBAN KRISHEN GANJU MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036052217

License Status

ACTIVE

Business

First Name

SHIBBAN KRISHEN

Last Name

GANJU

Suffix

Business Name

SHIBBAN KRISHEN GANJU MD

Original Issue Date

12/19/1975

Effective Date

07/09/2023

Expiration Date

07/31/2026

City

NEW YORK

State

Zip

10001

Ever Disciplined

LastModifiedDate

10/20/2023