VIJAY KUMAR DEVIREDDY (Credential# 1467110) 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.
VIJAY KUMAR DEVIREDDY is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.060198. The credential type is physician/surgeon. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 3533 Lancaster Ct, Fremont, CA 94536. The current status is active.
| Licensee Name | VIJAY KUMAR DEVIREDDY |
| Credential ID | 1467110 |
| Credential Number | 1.060198 |
| Credential Type | Physician/Surgeon |
| Business Address |
3533 Lancaster Ct Fremont CA 94536 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2018-04-03 |
| Effective Date | 2020-05-01 |
| Expiration Date | 2021-04-30 |
| Refresh Date | 2020-02-25 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1502365 | CSP.0067706 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2018-04-04 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 3533 Lancaster Ct |
| City | Fremont |
| State | CA |
| Zip Code | 94536 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Madhan Kumar Kantha Samy | 36552 Nettles Ct, Fremont, CA 94536 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Lindsey Michelle Day | 4327 Corrigan Drive, Fremont, CA 94536 | Licensed Clinical Social Worker | 2020-01-01 ~ 2020-12-31 |
| Chad G. Cahambing | 37317 Chinaberry Cmn, Fremont, CA 94536 | Certified Public Accountant License | 2020-01-01 ~ 2020-12-31 |
| Victoria L Chamberlain | 1668 Riverwalk Drive, Fremont, CA 94536 | Registered Nurse | 2017-05-01 ~ 2018-04-30 |
| Ma Teresa C Diaz | 4082 Abbey Terr, Fremont, CA 94536 | Registered Nurse | 2011-11-01 ~ 2012-10-31 |
| Amy L Miller | 4469 Gibraltar Drive, Fremont, CA 94536 | Registered Nurse | 2006-01-31 ~ 2006-08-31 |
| Mojgan Nodoushani | 3236 Defoe Court, Fremont, CA 94536 | Pharmacist | 2006-02-01 ~ 2007-01-31 |
| Maura A Young | 430 Hillview Dr, Fremont, CA 94536-2821 | Licensed Clinical Social Worker | 2017-09-01 ~ 2018-08-31 |
| Abha Bansal | 38731 Tierra St, Fremont, CA 94536-4421 | Physical Therapist | 2019-05-01 ~ 2020-04-30 |
| Hector Valdez | 4650 Balboa Way, Fremont, CA 94536-5613 | Home Improvement Salesperson | 2016-12-01 ~ 2017-11-30 |
| Find all Licenses in zip 94536 | |||
| City | Fremont |
| Zip Code | 94536 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Fremont |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Vijay Kumar Chenna | 2152 E Main St, Waterbury, CT 06705-2603 | Pharmacy Technician | 2008-03-04 ~ 2009-03-31 |
| Vijay K Agarwal | 241 Westgrove Ct, Durham, NC 27703-8960 | Physician/surgeon | 2008-05-13 ~ 2008-09-30 |
| Vijay Prabhakaran Md | 964 49th St Apt #ee1, Brooklyn, NY 11219 | Physician/surgeon | 2004-05-17 ~ 2005-07-31 |
| Vijay Maggio | 55 Winfield Rd, Princeton, NJ 08540-2431 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| Vijay Akkapeddi | 9 Pvt Lovett Ct, Blauvelt, NY 10913-1247 | Physician/surgeon | 2016-11-01 ~ 2017-10-31 |
| Vijay Saaraswat Md | 230 Teasdale Place, Morganville, NJ 07751 | Physician/surgeon | 2011-01-01 ~ 2011-12-31 |
| Atul Vijay Palkar | 35 Frostpane Ln, Hopkinton, MA 01748-2781 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Vijay V Joshi Md | 49 Hamlin Dr, West Hartford, CT 06117-1916 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Vijay V Desai | 144 Shadow Ridge Rd, Stamford, CT 06905 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Vijay K Anand | 205 East 64th St, New York, NY 10021 | Physician/surgeon | 2004-05-03 ~ 2005-06-30 |
Please comment or provide details below to improve the information on VIJAY KUMAR DEVIREDDY.
| 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).