License holder summary

PUTTANNIAH MANGALA SHIVARAM is a Medicine (Physician, Including M Ds & D Os) licensed to practice in New York. The address on file for PUTTANNIAH MANGALA SHIVARAM is BINGHAMTON NY. This doctor license is current. The license was granted 10/12/1979 and expired on 09/30/2015.

New York

Office of the Professions

PUTTANNIAH MANGALA SHIVARAM
Medicine (Physician, Including M Ds & D Os)
License number
140415
Date granted
10/12/1979
Date expires
09/30/2015
Class
Medicine (Physician, Including M Ds & D Os)
Status
Registered
Address
BINGHAMTON NY
nymedicine.org
ID 30249947
LAST UPDATED 2024-03-16 15:05:28 UTC

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