License holder summary

DATTA RAJIV VIRENDRA is a Medicine (Physician, Including M Ds & D Os) licensed to practice in New York. The address on file for DATTA RAJIV VIRENDRA is VALLEY STREAM NY. This doctor license is current. The license was granted 11/13/1995 and expired on 09/30/2017.

New York

Office of the Professions

DATTA RAJIV VIRENDRA
Medicine (Physician, Including M Ds & D Os)
License number
201327
Date granted
11/13/1995
Date expires
09/30/2017
Class
Medicine (Physician, Including M Ds & D Os)
Status
Registered
Address
VALLEY STREAM NY
nymedicine.org
ID 30122758
LAST UPDATED 2024-02-25 10:59:21 UTC

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