RAHUL DATTA (Credential# 1490655) is licensed (Resident Physician) with Connecticut Department of Consumer Protection. The license effective date is June 29, 2015. The license expiration date date is June 30, 2019. The license status is INACTIVE.
RAHUL DATTA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.058757-RES. The credential type is resident physician. The effective date is June 29, 2015. The expiration date is June 30, 2019. The business address is 129 York St Apt 5j, New Haven, CT 06511-5605. The current status is inactive.
| Licensee Name | RAHUL DATTA |
| Credential ID | 1490655 |
| Credential Number | 1.058757-RES |
| Credential Type | Resident Physician |
| Credential SubCategory | RES |
| Business Address |
129 York St Apt 5j New Haven CT 06511-5605 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - INACTIVE |
| Issue Date | 2015-06-29 |
| Effective Date | 2015-06-29 |
| Expiration Date | 2019-06-30 |
| Refresh Date | 2019-07-01 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1296795 | CSP.0060794 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2015-06-29 | 2017-03-01 - 2019-02-28 | LAPSED |
| 1287016 | 1.054431 | Physician/Surgeon | 2015-07-24 | 2017-08-01 - 2018-07-31 | INACTIVE |
| Street Address | 129 YORK ST APT 5J |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06511-5605 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Marez Megalla | 129 York St Apt 5k, New Haven, CT 06511-5605 | Controlled Substance Registration for Practitioner | 2020-06-24 ~ 2021-02-28 |
| Eujin Yeo | 129 York St Apt 5b, New Haven, CT 06511-5605 | Resident Physician | 2020-06-08 ~ 2021-06-30 |
| Martin Joseph Carney | 129 York St Apt 3n, New Haven, CT 06511-5605 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Susan Linda Giampalmo | 129 York St Apt 4k, New Haven, CT 06511-5605 | Resident Physician | 2020-06-08 ~ 2021-06-30 |
| Sloane Elizabeth Heller | 129 York St Apt 4o, New Haven, CT 06511-5605 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Steven Astafiev | 129 York St Apt 5f, New Haven, CT 06511-5605 | Resident Physician | 2020-06-11 ~ 2021-06-30 |
| Gabriel E Weingart | 129 York St Apt 5l, New Haven, CT 06511-5605 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Todd A Spock | 129 York St Apt 4d, New Haven, CT 06511-5605 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Eric Lawrence Soriano | 129 York St Apt 4a, New Haven, CT 06511-5605 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Nicole M Pavlik | 129 York St Apt 4h, New Haven, CT 06511-5605 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Find all Licenses in zip 06511-5605 | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Montessori School On Edgewood Inc. | 230 Edgewood Avenue, New Haven, CT 06511 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Therese Parks · Visel Drug Store | 264 Munson St, New Haven, CT 06511 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Dazjia Monet Green | 115 Edgewood Ave Apt 64, New Haven, CT 06511 | Registered Nurse | 2020-06-27 ~ 2021-05-31 |
| Carol Yam | 343 Humphrey St, New Haven, CT 06511 | Registered Nurse | ~ |
| Marwan S Haddad | 38 Lincoln Street, New Haven, CT 06511 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Mary Lou Gaeta Md | 558 Chapel Street, New Haven, CT 06511 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Cary M Tucker | 64 Bishop St, New Haven, CT 06511 | Architect | 2020-08-01 ~ 2021-07-31 |
| Frank J Pannenborg | 505 Ellsworth Ave, New Haven, CT 06511 | Architect | 2020-08-01 ~ 2021-07-31 |
| Crystal E Gooding | 26 Woodland Street, New Haven, CT 06511 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
| Kieran Jones | 260 Crown St Unit 1f, New Haven, CT 06511 | Registered Nurse | ~ |
| Find all Licenses in zip 06511 | |||
| City | NEW HAVEN |
| Zip Code | 06511 |
| License Type | Resident Physician |
| License Type + County | Resident Physician + NEW HAVEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Rupak Datta | 20 York St, New Haven, CT 06510-3220 | Resident Physician | 2016-07-01 ~ 2021-06-30 |
| Soum Datta Lokeshwar | 20 York St Rm 226, New Haven, CT 06510-3220 | Resident Physician | 2020-06-09 ~ 2021-06-30 |
| Rahul Kapil | 267 Grant St, Bridgeport, CT 06610-2805 | Resident Physician | 2020-07-01 ~ 2023-06-30 |
| Rahul Kumar | 20 York St Rm 226, New Haven, CT 06510-3220 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Neil Datta | 263 Farmington Avenue, Farmington, CT 06030-1921 | Resident Physician | 2014-06-28 ~ 2018-06-30 |
| Rahul Shah | Yale New Haven Hospital, New Haven, CT 06510 | Resident Physician | 2018-07-01 ~ 2021-06-30 |
| Rahul D Roy | 263 Farmington Avenue, Farmington, CT 06030-1921 | Resident Physician | 2019-07-01 ~ 2022-06-30 |
| Indrani H Datta Md | 130 Division St, Derby, CT 06418 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Subhajit Datta | 71 Bywater Drive, Getzville, NY 14068 | Physician/surgeon | 2000-06-21 ~ 2001-07-31 |
| Cristina Gioioso-datta | 103 North Main Street, Branford, CT 06405 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
Please comment or provide details below to improve the information on RAHUL DATTA.
| 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).