MODDY H KILUVIA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036147800

License Status

ACTIVE

Business

Title

First Name

MODDY

Middle

Last Name

KILUVIA

Business Name

MODDY H KILUVIA MD

Original Issue Date

12/05/2018

Effective Date

07/11/2023

Expiration Date

07/31/2026

City

NEW YORK

State

Zip

10016

Ever Disciplined

LastModifiedDate

07/11/2023