License holder summary

Kothari, Shakuntala- CCF Internal Medicine is a Medical Board - 41.Pa Supervision Agreement licensed to practice in Ohio. The address on file for Kothari, Shakuntala- CCF Internal Medicine is 9500 Euclid Ave., G-10, Fred Degrandis, Cleveland, OH 44195. This licensed professional license is current. The license was granted 02/22/2013 and expired on 01/31/2015.

Ohio

Board of Licensing

Kothari, Shakuntala- CCF Internal Medicine
Medical Board - 41.Pa Supervision Agreement
License number
41.16223-SA
Date granted
02/22/2013
Date expires
01/31/2015
Class
Medical Board - 41.Pa Supervision Agreement
Status
Active (In Renewal)
Address
9500 Euclid Ave., G-10, Fred Degrandis, Cleveland, OH 44195
ohiolicensing.org
ID 29535316
LAST UPDATED 2026-05-21 20:19:59 UTC

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