RAKESH RAJU MAHALI (Credential# 1158142) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2020. The license expiration date date is April 30, 2021. The license status is ACTIVE.
RAKESH RAJU MAHALI is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.051890. The credential type is physician/surgeon. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 1150 Pelham Parkway S Apt # 3e, Bronx, NY 10461. The current status is active.
| Licensee Name | RAKESH RAJU MAHALI |
| Credential ID | 1158142 |
| Credential Number | 1.051890 |
| Credential Type | Physician/Surgeon |
| Business Address |
1150 Pelham Parkway S Apt # 3e Bronx NY 10461 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2013-05-13 |
| Effective Date | 2020-05-01 |
| Expiration Date | 2021-04-30 |
| Refresh Date | 2020-02-11 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1163604 | CSP.0054698 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2013-05-15 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 1150 pelham parkway S apt # 3E |
| City | Bronx |
| State | NY |
| Zip Code | 10461 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Jae Hong Kim | 2119 Colonial Ave., Bronx, NY 10461 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Kristy M Marmorato | 1242 Rhinelander Ave, Bronx, NY 10461 | Radiographer | 2020-09-01 ~ 2021-08-31 |
| Peter M Frisolone | 2526 Maclay Avenue, Bronx, NY 10461 | Embalmer | 2020-08-01 ~ 2021-07-31 |
| Sherin Zaman | 2049 Saint Paul Ave, Bronx, NY 10461 | Physician Assistant | 2020-01-01 ~ 2020-12-31 |
| Johanna Berberena | 1138 Edison Avenue, Bronx, NY 10461 | Master's Level Social Worker | 2020-05-01 ~ 2021-04-30 |
| Ellie E Martinez | 2820 Middletown Rd, Bronx, NY 10461 | Master's Level Social Worker | 2020-04-01 ~ 2021-03-31 |
| Christopher Morea | 2964 Middletown Road, Bronx, NY 10461 | Tax Preparer/facilitator Permit | 2020-03-02 ~ 2022-03-31 |
| Yogangi Malhotra | 1400 Pelham Pkwy S, Bronx, NY 10461 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Juan Carlos Perez | 2863 Dudley Ave, Bronx, NY 10461 | Dental Hygienist | 2020-03-01 ~ 2021-02-28 |
| Shaheed Ahmed | 1843 Mayflower Ave, Bronx, NY 10461 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Find all Licenses in zip 10461 | |||
| City | Bronx |
| Zip Code | 10461 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Bronx |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Raju Sarwal | 601 Suffolk Ave, Brentwood, NY 11717-4309 | Physician/surgeon | ~ |
| Niranjana Raju | 930 Park Dr, Ste Genevieve, MO 63670 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
| Veena B Raju | 46 Brittany Farms Rd, New Britain, CT 06053 | Physician/surgeon | ~ 1998-09-30 |
| Jhansi R Raju | 829 Heath Lane, Westmont, IL 60559 | Physician/surgeon | 2004-04-26 ~ 2005-05-31 |
| Krishna Priya M Raju Md | 15 Corporate Dr, Trumbull, CT 06611 | Physician/surgeon | 2003-11-21 ~ 2004-11-30 |
| Robin D Raju | 1 Long Wharf Dr, New Haven, CT 06511-5991 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Rakesh Goyal | 171 Arlington Dr, Fords, NJ 08863-1315 | Physician/surgeon | 2014-05-01 ~ 2015-04-30 |
| Srinivas M Raju Md | 6 Robert Treat Drive, Milford, CT 06460 | Physician/surgeon | 2003-11-10 ~ 2004-10-31 |
| Rakesh H Patel Md | 596 Cedar Grove, Orange, CT 06477 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Rakesh Talati | 183 Primrose Drive, Longmeadow, MA 01106 | Physician/surgeon | 2005-06-16 ~ 2005-10-31 |
Please comment or provide details below to improve the information on RAKESH RAJU MAHALI.
| Data Provider | Connecticut Department of Consumer Protection |
| Jurisdiction | Connecticut |
| Related Datasets | Connecticut Business Registrations, Connecticut Child Care Facilities |
This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).