SHIVI S SIVA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036138438

License Status

ACTIVE

Business

Title

First Name

SHIVI

Middle

Last Name

SIVA

Business Name

SHIVI S SIVA MD

Original Issue Date

06/24/2015

Effective Date

07/25/2023

Expiration Date

07/31/2026

City

GREAT NECK

State

Zip

11021

Ever Disciplined

LastModifiedDate

07/25/2023