NIHIR SHAH
Resident Physician


Address: 4416 Macnish St Apt 3g, Elmhurst, NY 11373-3697

NIHIR SHAH (Credential# 1663373) 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, 2021. The license status is ACTIVE.

Business Overview

NIHIR SHAH is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.063531-RES. The credential type is resident physician. The effective date is July 1, 2019. The expiration date is June 30, 2021. The business address is 4416 Macnish St Apt 3g, Elmhurst, NY 11373-3697. The current status is active.

Basic Information

Licensee Name NIHIR SHAH
Credential ID 1663373
Credential Number 1.063531-RES
Credential Type Resident Physician
Credential SubCategory RES
Business Address 4416 Macnish St Apt 3g
Elmhurst
NY 11373-3697
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2019-07-01
Effective Date 2019-07-01
Expiration Date 2021-06-30
Refresh Date 2019-06-18

Other licenses

ID Credential Code Credential Type Issue Term Status
1654097 CSP.0070743 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2019-05-29 2019-05-29 - 2021-02-28 ACTIVE
2059048 1 Physician/Surgeon - PENDING

Office Location

Street Address 4416 MACNISH ST APT 3G
City ELMHURST
State NY
Zip Code 11373-3697

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Competitor

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City ELMHURST
Zip Code 11373
License Type Resident Physician
License Type + County Resident Physician + ELMHURST

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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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