License holder summary

Shiva Pavan Ponamgi is a Medical - Physician And Surgeon licensed to practice in Minnesota. The address on file for Shiva Pavan Ponamgi is 1000 1st Drive NW, Austin, MN 55912. This doctor license is current. The license was granted 09/07/2013 and expired on 07/31/2015.

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

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