PRATIK PRAMOD BAHEKAR (Credential# 1592993) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
PRATIK PRAMOD BAHEKAR is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0069322. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is 3535 Market St, Philadelphia, PA 19104. The current status is active.
| Licensee Name | PRATIK PRAMOD BAHEKAR |
| Credential ID | 1592993 |
| Credential Number | CSP.0069322 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
3535 Market St Philadelphia PA 19104 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2018-08-15 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1524316 | 1.061767 | Physician/Surgeon | 2018-08-13 | 2020-02-01 - 2021-01-31 | ACTIVE |
| 1587342 | 1.061702-RES | Resident Physician | 2018-07-01 | 2018-07-01 - 2019-06-30 | INACTIVE |
| Street Address | 3535 Market St |
| City | Philadelphia |
| State | PA |
| Zip Code | 19104 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Vinodh Pillai | Hospital of The University of Pennsylvania, Philadelphia, PA 19104 | Physician/surgeon | 2020-03-03 ~ 2021-03-31 |
| Adam Bagg | Hosp of The Univ of Pa, Philadelphia, PA 19104 | Physician/surgeon | 2020-02-21 ~ 2020-12-31 |
| Jeffrey D Alexander | 3943 Haverford Ave, Philadelphia, PA 19104 | Landscape Architect | 2019-11-18 ~ 2020-07-31 |
| Asaki Toda | 404 S. 45th St., Philadelphia, PA 19104 | Registered Nurse | 2018-06-11 ~ 2018-11-30 |
| Rachel E Oristano | 410 N 33rd St Apt D, Philadelphia, PA 19104 | Naturopathic Physician | 2019-02-01 ~ 2020-01-31 |
| Lawrence A Maayan | Chop, Philadelphia, PA 19104 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Zhonghua Li | 3400 Spruce Street, Philadelphia, PA 19104 | Physician/surgeon | 2017-05-01 ~ 2018-04-30 |
| Spark Therapeutics, Inc. · N/a | 3737 Market Street, Ste 1300, Philadephia, PA 19104 | Out of State Manufacturer of Drugs, Cosmetics & Medical Devices | 2018-01-30 ~ |
| Philadelphia Health & Education Corporation | 3201 Arch St, Suite 420, Philadelphia, PA 19104 | Public Charity-exempt From Financial Requirements | ~ |
| Drexel University | 3201 Arch Street, Suite 420, Philadelphia, PA 19104 | Public Charity-exempt From Financial Requirements | ~ |
| Find all Licenses in zip 19104 | |||
| City | Philadelphia |
| Zip Code | 19104 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + Philadelphia |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Pratik M. Vakil | 262 Grand Ave, New Haven, CT 06513-3723 | Controlled Substance Registration for Practitioner | 2011-11-15 ~ 2013-02-28 |
| Pramod K Mistry Md | Yale University Internal Medical Digestive Disease, New Haven, CT 06520 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Pramod Mistry · Yale University School of Medicine | 300 Cedar St, New Haven, CT 06519-1612 | Controlled Substance Laboratory | 2020-02-01 ~ 2021-01-31 |
| Steven Kassels Md · Community Substance Abuse Center | Comm. Physicians PC/125 North Elm Street, Westfield, MA 01085 | Controlled Substance Registration for Practitioner | 2018-06-15 ~ 2019-02-28 |
| Shu-i Lin | CT | Controlled Substance Registration for Practitioner | 2017-06-12 ~ 2019-02-28 |
| Erin K Fee | CT | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Hae J Kim Pa | New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2008-03-31 ~ 2009-02-28 |
| Huu Duc D Luu | 630 Mix Ave Apt 6p, Hamden, CT 06514-2320 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Arundati Rao | CT | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Min Jin Kim | 639 4th Ave Apt 5c, Brooklyn, NY 11232-1048 | Controlled Substance Registration for Practitioner | 2012-05-10 ~ 2013-02-28 |
Please comment or provide details below to improve the information on PRATIK PRAMOD BAHEKAR.
| 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).