Department of Safety and Professional Services
Board of Medical Practice
Shiva Pavan Ponamgi
Medical - Physician And Surgeon
License number
57047
Date granted
09/07/2013
Date expires
07/31/2015
Class
Medical - Physician And Surgeon
Status
Active
Address
1000 1st Drive NW, Austin, MN 55912
doctorsminnesota.org
ID 22280046
LAST UPDATED 2026-03-16 19:03:04 UTC
LAST UPDATED 2026-03-16 19:03:04 UTC
This website is unaffiliated with the Board of Medical Practice. Please verify all information directly with the relevant official government authority.