License holder summary

SHIVA PRASAD SHASHIDHARAN is a Graduate Medical Trainee licensed to practice in Pennsylvania. The address on file for SHIVA PRASAD SHASHIDHARAN is INDIA. This medical practitioner license is not current. The license was granted 04/18/2012 and expired on 06/24/2015.

Department of State

Board of Medicine

SHIVA PRASAD SHASHIDHARAN
Graduate Medical Trainee
License number
MT201178
Date granted
04/18/2012
Date expires
06/24/2015
Class
Graduate Medical Trainee
Status
Inactive
Address
INDIA
medicinepa.com
ID 37570594
LAST UPDATED 2026-03-25 01:06:47 UTC

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