License holder summary

MODALI SADASIVAM is a Medicine (Physician, Including M Ds & D Os) licensed to practice in New York. The address on file for MODALI SADASIVAM is ELMHURST NY. This doctor license is not current. The license was granted 07/29/1977.

New York

Office of the Professions

MODALI SADASIVAM
Medicine (Physician, Including M Ds & D Os)
License number
131677
Date granted
07/29/1977
Class
Medicine (Physician, Including M Ds & D Os)
Status
Not Registered
Address
ELMHURST NY
nymedicine.org
ID 30224001
LAST UPDATED 2024-04-07 00:45:34 UTC

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