License holder summary

Dr. MABBU GAJAPATHY SHIVA PRASAD is a Medical Board - 35.Doctor Of Medicine licensed to practice in Ohio. The address on file for Dr. MABBU GAJAPATHY SHIVA PRASAD is Logan Family Medical center, 2210 Timber trail, BELLEFONTAINE, OH 43311. This doctor license is current. The license was granted 04/11/1997 and expired on 01/01/2018.

Ohio

State Medical Board of Ohio

Dr. MABBU GAJAPATHY SHIVA PRASAD
Medical Board - 35.Doctor Of Medicine
License number
35.072257
Date granted
04/11/1997
Date expires
01/01/2018
Class
Medical Board - 35.Doctor Of Medicine
Status
Active
Address
Logan Family Medical center, 2210 Timber trail, BELLEFONTAINE, OH 43311
doctorsohio.org
ID 28469685
LAST UPDATED 2026-04-02 19:14:13 UTC

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