MOUSHUMI SHOMA DATTA-THOMAS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****05

License Status

ACTIVE

Business

Title

First Name

MOUSHUMI

Middle

SHOMA

Last Name

DATTA-THOMAS

Business Name

MOUSHUMI SHOMA DATTA-THOMAS MD

Original Issue Date

03/15/2023

Effective Date

07/27/2023

Expiration Date

07/31/2026

City

NEW YORK

State

Zip

10011

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/27/2023