VENKATA R MANCHALA (Credential# 1349217) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
VENKATA R MANCHALA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0062511. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is 2800 Main St, Bridgeport, CT 06606-4201. The current status is active.
| Licensee Name | VENKATA R MANCHALA |
| Credential ID | 1349217 |
| Credential Number | CSP.0062511 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
2800 Main St Bridgeport CT 06606-4201 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2016-04-26 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1341660 | 1.055195 | Physician/Surgeon | 2016-04-25 | 2019-05-01 - 2020-04-30 | ACTIVE |
| Street Address | 2800 MAIN ST |
| City | BRIDGEPORT |
| State | CT |
| Zip Code | 06606-4201 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Vahab Nemati | 2800 Main St, Bridgeport, CT 06606-4201 | Resident Physician | 2020-07-01 ~ 2024-06-30 |
| Federico Delgado-hernandez | 2800 Main St, Bridgeport, CT 06606-4201 | Resident Physician | 2020-07-01 ~ 2023-06-30 |
| Maria Morel Almonte | 2800 Main St, Bridgeport, CT 06606-4201 | Resident Physician | 2020-07-01 ~ 2023-06-30 |
| Saumya Batra | 2800 Main St, Bridgeport, CT 06606-4201 | Resident Physician | 2020-07-01 ~ 2023-06-30 |
| Lyndsay Hauser | 2800 Main St, Bridgeport, CT 06606-4201 | Resident Physician | 2020-07-01 ~ 2023-06-30 |
| Buadi Tandoh | 2800 Main St, Bridgeport, CT 06606-4201 | Resident Physician | 2020-07-01 ~ 2023-06-30 |
| Jason Xenakis | 2800 Main St, Bridgeport, CT 06606-4201 | Resident Physician | 2020-07-01 ~ 2023-06-30 |
| Sergio Reyes Salcedo | 2800 Main St, Bridgeport, CT 06606-4201 | Resident Physician | 2020-07-01 ~ 2023-06-30 |
| Mahmoud Abdelrahman | 2800 Main St, Bridgeport, CT 06606-4201 | Resident Physician | 2020-07-01 ~ 2023-06-30 |
| Justyna Michalik | 2800 Main St, Bridgeport, CT 06606-4201 | Resident Physician | 2020-07-01 ~ 2023-06-30 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Thomas A. Raskauskas | 2754 Main St, Bridgeport, CT 06606-4201 | Physician/surgeon | 2018-09-01 ~ 2019-08-31 |
| Deborah T Akanya | St Vincents Medical Center, Bridgeport, CT 06606-4201 | Resident Physician | 2019-07-01 ~ 2022-06-30 |
| Ryan T Sieberg | 2800 Main St Level 3 Medical Ed, Bridgeport, CT 06606-4201 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Millicent Amankwah | 2800 Main St # Lv3, Bridgeport, CT 06606-4201 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Arsalan A Alvi | 2800 Main St Dept Medicine, Bridgeport, CT 06606-4201 | Resident Physician | 2018-07-01 ~ 2021-06-30 |
| Arnaldo A Rodriguez Rivera | 2800 Main St Dept Of, Bridgeport, CT 06606-4201 | Resident Physician | 2018-07-01 ~ 2021-06-30 |
| Edin Adilovic | 2800 Main St Fl 3, Bridgeport, CT 06606-4201 | Resident Physician | 2018-07-01 ~ 2021-06-30 |
| Michael Chau Viray Md | 2800 Main St # 3, Bridgeport, CT 06606-4201 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Armais Akovbyan | 2800 Main Street, Bridgeport, CT 06606-4201 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Raluca L Cozmuta | 2800 Main St # Level3, Bridgeport, CT 06606-4201 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Find all Licenses in zip 06606-4201 | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Julia Lopez | 147 Rocton Ave, Bridgeport, CT 06606 | Nail Technician | ~ |
| Sonia M Lozada | 207 Jackson Avenue, Bridgeport, CT 06606 | Notary Public Appointment | 2020-09-01 ~ 2025-08-31 |
| Angelo Preci · E&j Package Store | 4500 Main Street, Bridgeport, CT 06606 | Package Store Liquor | 2020-07-15 ~ 2021-07-14 |
| Sarah Akinosho Ogunbiyi | 438 Chopsey Hill Rd, Bridgeport, CT 06606 | Medication Administration Certification | 2020-05-04 ~ 2022-05-03 |
| Luz Aida Mora | 435 High Ridge Drive, Bridgeport, CT 06606 | Professional Counselor | ~ |
| Hortensia E Wright | 376 Funston Ave, Bridgeport, CT 06606 | Licensed Practical Nurse | 2020-06-01 ~ 2021-05-31 |
| Jacqueline Moffatt | 173 Queen Street, Bridgeport, CT 06606 | Master's Level Social Worker | ~ |
| Marisa L Drapp | 9b Patricia Road, Bridgeport, CT 06606 | Real Estate Salesperson | ~ |
| Robert D Meeker | 57 Alexander Avenue, Bridgeport, CT 06606 | Public Weigher | 2020-07-01 ~ 2021-06-30 |
| D'andria L Young | 394 Indian Ave, Bridgeport, CT 06606 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Find all Licenses in zip 06606 | |||
| City | BRIDGEPORT |
| Zip Code | 06606 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + BRIDGEPORT |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Venkata R Pulivarthi Md | C/o Chc, Meriden, CT 06450 | Controlled Substance Registration for Practitioner | 1995-07-20 ~ 1996-02-28 |
| Venkata Rajesh Konjeti | Farmington, CT 06030-0001 | Controlled Substance Registration for Practitioner | 2013-03-06 ~ 2015-02-28 |
| Venkata K Jonna Md | 2 Park Pl Apt 6c, Hartford, CT 06106-5010 | Controlled Substance Registration for Practitioner | 2014-08-20 ~ |
| Venkata Bodavula | 24 Hospital Ave, Danbury, CT 06810-6099 | Controlled Substance Registration for Practitioner | 2009-09-11 ~ 2011-02-28 |
| Venkata L N V K Buddharaju | 2800 Main St, Bridgeport, CT 06606-4201 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Venkata Praveena Kota Md | 111 Deercliff Rd, Avon, CT 06001 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Venkata Naga Kiran Dintyala Md | 80 Seymour St Ste 502, Hartford, CT 06102-8000 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Venkata Srp Velagapudi | 54 Hazard Ave,stop and Shop Plaza, Enfield, CT 06082 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Manjula Venkata Naga Rekha Cherukuri | 5916 Tribune Way, Plano, TX 75094-4551 | Controlled Substance Registration for Practitioner | 2020-03-29 ~ 2021-02-28 |
| Venkata Narasimhadevara | 263 Farmington Ave # Mc-1234, Farmington, CT 06030-0001 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
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| 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).