PANNA R SHAH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036075424

License Status

ACTIVE

Business

First Name

PANNA R

Last Name

SHAH

Suffix

Business Name

PANNA R SHAH MD

Original Issue Date

07/06/1987

Effective Date

07/18/2023

Expiration Date

07/31/2026

City

RESTON

State

Zip

20190

Ever Disciplined

LastModifiedDate

07/18/2023