DEETU KADAMBI SIMH (Credential# 1591759) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2020. The license expiration date date is March 31, 2021. The license status is ACTIVE.
DEETU KADAMBI SIMH is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.062166. The credential type is physician/surgeon. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 1425 Madison Pl Bldg C, Southborough, MA 01772-2158. The current status is active.
| Licensee Name | DEETU KADAMBI SIMH |
| Credential ID | 1591759 |
| Credential Number | 1.062166 |
| Credential Type | Physician/Surgeon |
| Business Address |
1425 Madison Pl Bldg C Southborough MA 01772-2158 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2018-12-11 |
| Effective Date | 2020-04-01 |
| Expiration Date | 2021-03-31 |
| Refresh Date | 2020-04-17 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1620116 | CSP.0069987 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2018-12-12 | 2018-12-12 - 2021-02-28 | ACTIVE |
| Street Address | 1425 MADISON PL BLDG C |
| City | SOUTHBOROUGH |
| State | MA |
| Zip Code | 01772-2158 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Simon J Butler | 10 Presidential Drive, Southborough, MA 01772 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Gtxcel, Inc. | 144 Turnpike Road, Suite 140, Southborough, MA 01772 | Securities - Exemptions | 2020-03-26 ~ |
| Deborah Demuria | 58 Flagg Road, Southborough, MA 01772 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Shelby Butwell | 841 Madison Place, Southborough, MA 01772 | Registered Nurse | 2020-04-01 ~ 2021-03-31 |
| Stephanie Piandes | 9 Breakneck Hill Rd, Southborough, MA 01772 | Occupational Therapist | 2019-12-13 ~ 2021-07-31 |
| Brian Edward Shea | 17 Pinecone Ln, Southboro, MA 01772 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Julie A Talbot | 25 E Main St, Southborough, MA 01772 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Richard E. Fournier, Jr. | 33 Darlene Drive, Southboro, MA 01772 | Certified Public Accountant License | 2020-01-01 ~ 2020-12-31 |
| Haita Makanji | 9 Kidder Lane, Southborough, MA 01772 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Chad M Farrell Jr | 154 Turnpike Road, Southborough, MA 01772 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Find all Licenses in zip 01772 | |||
| City | SOUTHBOROUGH |
| Zip Code | 01772 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + SOUTHBOROUGH |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Pramod V Kadambi Md | 175 Sherman Ave, New Haven, CT 06051 | Physician/surgeon | 2003-04-08 ~ 2004-03-31 |
| Penny Lamhut Md | Genesis Physician Services, Windsor, CT 06098 | Physician/surgeon | 1999-07-15 ~ 2000-07-31 |
| Gilbert L Drozdow | Envision Physician Services, Plantation, FL 33322 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
| Russell H Harris Md | Envision Physician Services, Horsham, PA 19044 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
| John T Thompson | Physician Pavilion W, Towson, MD 21204 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Arnold R Kriegstein | College Physician, New York, NY 10032 | Physician/surgeon | 1993-04-23 ~ 1994-03-31 |
| Brent Robert Jacobson | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Catherine Nguyen Keegan | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| Nazanin Barzideh Md | North Shore Retina Physician, Pllc, East Hills, NY 11576 | Physician/surgeon | 2010-05-01 ~ 2011-04-30 |
| Susan J Batlan Md | Eye Physician Associates of Hartford, West Hartford, CT 06107 | Physician/surgeon | 2000-07-27 ~ 2001-07-31 |
Please comment or provide details below to improve the information on DEETU KADAMBI SIMH.
| 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).