License holder summary

MABBU GAJAPATHY SHIVA-PRASAD is a Graduate Medical Trainee licensed to practice in Pennsylvania. This medical practitioner license is not current. The license was granted 03/30/1995 and expired on 06/30/1997.

Department of State

Board of Medicine

MABBU GAJAPATHY SHIVA-PRASAD
Graduate Medical Trainee
License number
MT033843T
Date granted
03/30/1995
Date expires
06/30/1997
Class
Graduate Medical Trainee
Status
Inactive
medicinepa.com
ID 37566748
LAST UPDATED 2026-03-07 03:52:59 UTC

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