PRACHI NITIN GODIWALA (Credential# 1653172) is licensed (Resident Physician) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2019. The license expiration date date is June 30, 2022. The license status is ACTIVE.
PRACHI NITIN GODIWALA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.062815-RES. The credential type is resident physician. The effective date is July 1, 2019. The expiration date is June 30, 2022. The business address is 133 Argyle Ave, West Hartford, CT 06107. The current status is active.
| Licensee Name | PRACHI NITIN GODIWALA |
| Credential ID | 1653172 |
| Credential Number | 1.062815-RES |
| Credential Type | Resident Physician |
| Credential SubCategory | RES |
| Business Address |
133 Argyle Ave West Hartford CT 06107 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-07-01 |
| Effective Date | 2019-07-01 |
| Expiration Date | 2022-06-30 |
| Refresh Date | 2019-05-01 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1636158 | CSP.0070393 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2019-03-05 | 2019-03-05 - 2021-02-28 | ACTIVE |
| 1617096 | 1.062242 | Physician/Surgeon | 2019-01-09 | 2019-10-01 - 2020-09-30 | ACTIVE |
| Street Address | 133 Argyle Ave |
| City | West Hartford |
| State | CT |
| Zip Code | 06107 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Brandon Oto | 133 Argyle Ave, West Hartford, CT 06107 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Rebecca L Stansfield | 73 Tunxis Road, West Hartford, CT 06107 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Kumari Joshi | 44 Bentwood Rd, West Hartford, CT 06107 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Laurie C Caines Md | 205 Stoner Drive, West Hartford, CT 06107 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Nicole K. Edlund | 11 Greenacres Avenue, West Hartford, CT 06107 | Master's Level Social Worker - Temporary Permit | ~ |
| Andrea M Yuliano | 39 Mountain Terrace Road, West Hartford, CT 06107 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Elizabeth M Ineson | 4 Linwold Dr, West Htfd, CT 06107 | Architect | 2020-08-01 ~ 2021-07-31 |
| Sarah G Potter | 19 Westland Ave, West Hartford, CT 06107 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Jessica C Abreu | 14 Deepwood Lane, West Hartford, CT 06107 | Real Estate Salesperson | 2020-06-18 ~ 2021-05-31 |
| William C Richter | 67 Hillsboro Drive, West Hartford, CT 06107 | Architect | 2020-08-01 ~ 2021-07-31 |
| Teresa M Stanton | 25 Common Dr., West Hartford, CT 06107 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06107 | |||
| City | West Hartford |
| Zip Code | 06107 |
| License Type | Resident Physician |
| License Type + County | Resident Physician + West Hartford |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Prachi Pednekar | 267 Grant St., Bridgeport, CT 06610 | Resident Physician | 2019-06-24 ~ 2022-06-30 |
| Prachi Jain | 20 York St., New Haven, CT 06510-3220 | Resident Physician | 2016-07-07 ~ 2021-06-30 |
| Prachi Syngal | 8114 Baxter Ave Apt 5b, Elmhurst, NY 11373-1310 | Resident Physician | 2017-07-01 ~ 2021-06-30 |
| Prachi Dubey Md | 4803 Elm St, Bellaire, TX 77401-2809 | Physician/surgeon | 2018-11-01 ~ 2019-10-31 |
| Nitin A Chitale | 450 Briargate Way, Cookeville, TN 38501 | Physician/surgeon | 2003-10-15 ~ 2004-09-30 |
| Nitin S Putcha | 8 Vanderbilt Dr, Livingston, NJ 07039-6102 | Physician/surgeon | 2019-02-01 ~ 2020-01-31 |
| Nitin Gupta | 18 Ashford Ave, Dobbs Ferry, NY 10522-1823 | Physician/surgeon | ~ |
| Nitin Gogate | 21 Bloomingdale Road, White Plains, NY 10605 | Physician/surgeon | 1999-12-01 ~ 2000-12-31 |
| Monica Nitin Modi | 140 Grandview Avenue, Waterbury, CT 06708 | Physician/surgeon | 2018-07-01 ~ 2019-06-30 |
| Michelle Godiwala | 82 Linden St, New Haven, CT 06511-2425 | Veterinarian | 2012-08-01 ~ 2013-07-31 |
Please comment or provide details below to improve the information on PRACHI NITIN GODIWALA.
| 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).