VIDYA PUTHENPURA
Resident Physician


Address: 77 Havemeyer Lane, Stamford, CT 06902

VIDYA PUTHENPURA (Credential# 1519723) 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

VIDYA PUTHENPURA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.061234-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 77 Havemeyer Lane, Stamford, CT 06902. The current status is active.

Basic Information

Licensee Name VIDYA PUTHENPURA
Credential ID 1519723
Credential Number 1.061234-RES
Credential Type Resident Physician
Credential SubCategory RES
Business Address 77 Havemeyer Lane
Stamford
CT 06902
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 2020-05-27

Other licenses

ID Credential Code Credential Type Issue Term Status
1492231 1.060475 Physician/Surgeon 2018-05-01 2020-06-01 - 2021-05-31 ACTIVE
1494633 CSP.0067500 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2018-05-01 2019-03-01 - 2021-02-28 ACTIVE

Office Location

Street Address 77 Havemeyer Lane
City Stamford
State CT
Zip Code 06902

Licenses in the same location

Licensee Name Office Address Credential Effective / Expiration
Robert A. Defruscio 77 Havemeyer Lane, Stamford, CT 06902 Certified Public Accountant License 2020-01-01 ~ 2020-12-31
Christine E Tammara 77 Havemeyer Lane, Stamford, CT 06902 Certified Public Accountant License 2020-01-01 ~ 2020-12-31
Palmer Hill Partners LLC 77 Havemeyer Lane, Stamford, CT 06902 New Home Construction Contractor 2013-10-01 ~ 2015-09-30
Mirel Roig Govea 77 Havemeyer Lane, Stamford, CT 06902 Real Estate Salesperson ~
Mitea Martin 77 Havemeyer Lane, Stamford, CT 06902 Real Estate Salesperson ~

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Jeris Maydeli Flores 153 Fairfield Av, Stamford, CT 06902 Nail Technician ~
Reynaldo De La Cruz 64 Brookside Drive, Stamford, CT 06902 Registered Nurse 2020-08-01 ~ 2021-07-31
Darren J Petillo 5 Hundley Court, Stamford, CT 06902 Licensed Clinical Social Worker 2020-09-01 ~ 2021-08-31
Antonios Restaurant 405 West Main St, Stamford, CT 06902 Bakery 2020-07-01 ~ 2021-06-30
Edward Smith 184 Fairfield Ave., Stamford, CT 06902 Home Improvement Contractor ~
Margaret A Dorrance 24c Hamilton Court, Stamford, CT 06902 Registered Nurse 2020-07-01 ~ 2021-06-30
Carolyn Maguire 48 Nelson St, Stamford, CT 06902 Registered Nurse 2020-07-01 ~ 2021-06-30
Evelyne Joassin 17 George St., Stamford, CT 06902 Licensed Practical Nurse 2020-07-01 ~ 2021-06-30
Andrea Bynoe 34 Melrose Pl, Stamford, CT 06902 Notary Public Appointment 1994-04-06 ~ 1999-04-30
Ravi K Ahuja 296 Westover Rd, Stamford, CT 06902 Architect 2020-08-01 ~ 2021-07-31
Find all Licenses in zip 06902

Competitor

Search similar business entities

City Stamford
Zip Code 06902
License Type Resident Physician
License Type + County Resident Physician + Stamford

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Vidya Paray 3699 Broadbridge Ave Unit 122, Stratford, CT 06614-2062 Physician Assistant 2020-03-01 ~ 2021-02-28
Vidya Z Sorrentini-irizarry 48 Ocean Ave, New London, CT 06320-3414 Dentist 2018-09-01 ~ 2019-08-31
Vidya Venkateswaran 4004 Medford Dr, Annandale, VA 22003-6903 Physical Therapist ~
Vidya J Vernekar 555 Juniper St, La Verne, CA 91750-5722 Physical Therapist 2019-12-01 ~ 2020-11-30
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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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