NIKETA C SHAH (Credential# 1338952) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.
NIKETA C SHAH is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.055327. The credential type is physician/surgeon. The effective date is March 1, 2020. The expiration date is February 28, 2021. The business address is 945 E Playa Del Norte Dr Unit 3002, Tempe, AZ 85281-2280. The current status is active.
| Licensee Name | NIKETA C SHAH |
| Credential ID | 1338952 |
| Credential Number | 1.055327 |
| Credential Type | Physician/Surgeon |
| Business Address |
945 E Playa Del Norte Dr Unit 3002 Tempe AZ 85281-2280 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2016-06-06 |
| Effective Date | 2020-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-12-18 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1339643 | CSP.0062272 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2016-06-07 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 945 E PLAYA DEL NORTE DR UNIT 3002 |
| City | TEMPE |
| State | AZ |
| Zip Code | 85281-2280 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Paul G Scott | 1215 W. Rio Salado Pkwy, Tempe, AZ 85281 | Professional Engineer | 2019-02-01 ~ 2020-01-31 |
| Harvest Health & Recreation Inc. | 1155 W. Rio Salado Parkway, Tempe, AZ 85281 | Securities - Exemptions | 2020-03-02 ~ |
| Hossam Alhabach | 140 E Rio Salado Pkwy, Tempe, AZ 85281 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| American Hydrogen Association | 216 S. Clark Ms103, Tempe, AZ 85281 | Public Charity-exempt From Financial Requirements | ~ |
| Malcolm Pirnie Inc | 1542 S Price Rd Apt 106, Tempe, AZ 85281 | Professional Engineer | 1992-01-27 ~ 1993-01-31 |
| Anna Yoshihiro | 700 W University Drive, Apt 229 E, Tempe, AZ 85281 | Hairdresser/cosmetician | 2012-11-01 ~ 2014-10-31 |
| Sara R Gerke | 1216 E. Vista Dell Cerro #1025, Tempe, AZ 85281 | Engineer-in-training | 1997-03-18 ~ 2007-03-18 |
| Jesse C Landry | 717 E Continental Dr, Tempe, AZ 85281 | Electrical Unlimited Contractor | 2004-10-01 ~ 2005-09-30 |
| Pacific Pulmonary Services | 2125 East 5th Street; Suite #110, Tempe, AZ 85281 | Nonresident Pharmacy | 2006-05-31 ~ 2006-08-31 |
| Express Scripts | 1700 North Desert Drive, Tempe, AZ 85281 | Nonresident Pharmacy | 2004-09-01 ~ 2005-08-31 |
| Find all Licenses in zip 85281 | |||
| City | TEMPE |
| Zip Code | 85281 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + TEMPE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mayuri N Shah | Po Box 176, Paterson, NJ 07533 | Physician/surgeon | 2002-12-23 ~ 2003-12-31 |
| Nickul Shah | 49 Glendale Rd, Agawam, MA 01001-3348 | Physician/surgeon | ~ |
| Neel P Shah | 39 Hospital Ave, Danbury, CT 06810-6027 | Physician/surgeon | 2018-04-01 ~ 2019-03-31 |
| Sushrut S Shah | 130 Cherry Ln, Wynnewood, PA 19096-1220 | Physician/surgeon | 2009-11-01 ~ 2010-10-31 |
| Khushali Shah | 40 Prospect Ave Apt 2-2f, Norwalk, CT 06850-3719 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Maully J Shah | 282 Washington St, Hartford, CT 06106 | Physician/surgeon | ~ 1999-08-31 |
| Nilay Ramesh Shah | 250 Ashland Pl Apt 49j, Brooklyn, NY 11217-4342 | Physician/surgeon | ~ |
| Rahman Shah Md | 13 Clark St#1, New Haven, CT 06511 | Physician/surgeon | 2006-03-28 ~ 2007-03-31 |
| Minal Shah | 110 Coachman Pl E, Syosset, NY 11791 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Ami A Shah | 245 East 58th St, Apt 12a, New York, NY 10022 | Physician/surgeon | 2012-05-01 ~ 2013-04-30 |
Please comment or provide details below to improve the information on NIKETA C SHAH.
| 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).