License holder summary

MODY SUSHAMA is a Medicine (Physician, Including M Ds & D Os) licensed to practice in New York. The address on file for MODY SUSHAMA is STATEN ISLAND NY. This doctor license is current. The license was granted 12/08/2004 and expired on 09/30/2016.

New York

Office of the Professions

MODY SUSHAMA
Medicine (Physician, Including M Ds & D Os)
License number
234648
Date granted
12/08/2004
Date expires
09/30/2016
Class
Medicine (Physician, Including M Ds & D Os)
Status
Registered
Address
STATEN ISLAND NY
nymedicine.org
ID 30224091
LAST UPDATED 2024-03-15 07:56:12 UTC

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