SHYAM PATEL
Resident Physician


Address: 1282 Boylston St Unit 419, Boston, MA 02215-4455

SHYAM PATEL (Credential# 1504228) is licensed (Resident Physician) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2018. The license expiration date date is June 30, 2021. The license status is ACTIVE.

Business Overview

SHYAM PATEL is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.060289-RES. The credential type is resident physician. The effective date is July 1, 2018. The expiration date is June 30, 2021. The business address is 1282 Boylston St Unit 419, Boston, MA 02215-4455. The current status is active.

Basic Information

Licensee Name SHYAM PATEL
Credential ID 1504228
Credential Number 1.060289-RES
Credential Type Resident Physician
Credential SubCategory RES
Business Address 1282 Boylston St Unit 419
Boston
MA 02215-4455
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2018-07-01
Effective Date 2018-07-01
Expiration Date 2021-06-30
Refresh Date 2020-03-31

Other licenses

ID Credential Code Credential Type Issue Term Status
1495984 CSP.0067545 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2018-06-21 2018-06-21 - 2019-02-28 LAPSED

Other locations

Licensee Name Office Address Credential Effective / Expiration
Shyam Patel 249 Belleville Ave Apt 35a, Bloomfield, NJ 07003-3566 Off Track Betting Facility Employee 2020-01-01 ~ 2020-12-31
Shyam Patel 112 Jessica Dr, East Hartford, CT 06118-2424 Pharmacist 2020-02-01 ~ 2022-01-31
Shyam Patel 66 Deerfield Dr, Berlin, CT 06037-3026 Emergency Medical Technician 2017-12-05 ~ 2020-07-01

Office Location

Street Address 1282 BOYLSTON ST UNIT 419
City BOSTON
State MA
Zip Code 02215-4455

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Providence Strategic Growth Europe, Lp Landmark Center, Boston, MA 02215 Securities - Exemptions ~
Dana-farber Cancer Institute Inc 450 Brookline Ave, Boston, MA 02215 Nonresident Pharmacy ~
Kelly Zhang 400 Brookline Ave, Boston, MA 02215 Pharmacist 2020-02-01 ~ 2022-01-31
Red Sox Foundation 4 Jersey Street, Boston, MA 02215 Public Charity 2019-12-01 ~ 2020-11-30
James V Hennessey Beth Israel Deaconness Mc, Boston, MA 02215 Physician/surgeon 2020-01-01 ~ 2020-12-31
Marc-david Munk 136 Brookline Ave, Boston, MA 02215 Physician/surgeon 2018-06-01 ~ 2019-05-31
Walgreens #10996 429 Brookline Ave., Boston, MA 02215 Nonresident Pharmacy 2019-09-01 ~ 2020-08-31
Inga-marie Schaefer 19 Queensberry Street, Boston, MA 02215 Physician/surgeon 2018-02-01 ~ 2019-02-28
Bhaskar Roy 111 Park Drive, Boston, MA 02215 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
David E Denny 51 Park Dr #2, Boston, MA 02215 Professional Engineer 2012-03-12 ~ 2013-01-31
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Competitor

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City BOSTON
Zip Code 02215
License Type Resident Physician
License Type + County Resident Physician + BOSTON

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Niral M Patel 20 York St, New Haven, CT 06510 Resident Physician 2018-07-01 ~ 2020-06-30
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Hemani Patel 34 Maple St, Norwalk, CT 06850-3815 Resident Physician 2020-06-22 ~ 2023-06-30
Neville M Patel 64 Robbins St, Waterbury, CT 06708-2613 Resident Physician 2020-06-28 ~ 2025-06-27
Chandni H Patel 547 Ashwood Rd, Springfield, NJ 07081-2526 Resident Physician 2015-07-01 ~ 2020-06-30
Smit D Patel 753 Summerfield Dr, Allen, TX 75002-1821 Resident Physician 2017-06-28 ~ 2021-06-30
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Dataset Information

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).

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