ANUSHA RAJA
Resident Physician


Address: 33 Sylvan Ave Apt 610, New Haven, CT 06519-1060

ANUSHA RAJA (Credential# 1657215) is licensed (Resident Physician) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2020. The license expiration date date is June 30, 2021. The license status is ACTIVE.

Business Overview

ANUSHA RAJA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.063151-RES. The credential type is resident physician. The effective date is July 1, 2020. The expiration date is June 30, 2021. The business address is 33 Sylvan Ave Apt 610, New Haven, CT 06519-1060. The current status is active.

Basic Information

Licensee Name ANUSHA RAJA
Credential ID 1657215
Credential Number 1.063151-RES
Credential Type Resident Physician
Credential SubCategory RES
Business Address 33 Sylvan Ave Apt 610
New Haven
CT 06519-1060
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2019-06-11
Effective Date 2020-07-01
Expiration Date 2021-06-30
Refresh Date 2020-06-04

Other licenses

ID Credential Code Credential Type Issue Term Status
1658185 CSP.0071048 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2019-05-17 2019-05-17 - 2021-02-28 ACTIVE

Office Location

Street Address 33 SYLVAN AVE APT 610
City NEW HAVEN
State CT
Zip Code 06519-1060

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Tiffany Johnson 33 Sylvan Ave Apt 801, New Haven, CT 06519-1060 Licensed Practical Nurse 2020-07-01 ~ 2021-06-30

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Alejandra Lopez Cervantes 10 Hedge St, New Haven, CT 06519 Combination Nail Technician, Esthetician Or Eyelash Technici 2020-06-20 ~ 2021-08-31
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Competitor

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City NEW HAVEN
Zip Code 06519
License Type Resident Physician
License Type + County Resident Physician + NEW HAVEN

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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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