License holder summary

SHIVA, MALLAIAH, MD is a Medical - Physician licensed to practice in Georgia. The address on file for SHIVA, MALLAIAH, MD is 13909 NACOGDOCHES ROAD | SUITE 101-A, SAN ANTONIO 78217. This doctor license is not current. The license was granted 08/10/1983 and expired on 12/31/1997.

Georgia

Composite Medical Board

SHIVA, MALLAIAH, MD
Medical - Physician
License number
025274
Date granted
08/10/1983
Date expires
12/31/1997
Class
Medical - Physician
Status
Lapsed
Address
13909 NACOGDOCHES ROAD | SUITE 101-A
georgiadoctors.net
ID 38081416
LAST UPDATED 2026-05-07 21:56:09 UTC

This website is unaffiliated with the Composite Medical Board. Please verify all information directly with the relevant official government authority.

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