Idaho
Division of Occupational and Professional Licenses
Dr. SUJAL SHARAD MANDAVIA
Board Of Medicine
License number
M-13185
Date granted
02/10/2016
Date expires
06/30/2017
Class
Board Of Medicine
Status
Licensed
Address
TEAMHEALTH GLENDALE CA 91203
idaholicensing.com
ID 48339225
LAST UPDATED 2026-03-26 04:08:04 UTC
LAST UPDATED 2026-03-26 04:08:04 UTC
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