License holder summary

POOVATHOOR SHAJI PHILIP is a Medicine (Physician, Including M Ds & D Os) licensed to practice in New York. The address on file for POOVATHOOR SHAJI PHILIP is SOUTH SETAUKET NY. This doctor license is current. The license was granted 06/30/2004 and expired on 09/30/2017.

New York

Office of the Professions

POOVATHOOR SHAJI PHILIP
Medicine (Physician, Including M Ds & D Os)
License number
233161
Date granted
06/30/2004
Date expires
09/30/2017
Class
Medicine (Physician, Including M Ds & D Os)
Status
Registered
Address
SOUTH SETAUKET NY
nymedicine.org
ID 30247467
LAST UPDATED 2026-06-21 15:02:56 UTC

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