PARVATHY MADHAVAN (Credential# 1690514) 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.
PARVATHY MADHAVAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.064299. The credential type is physician/surgeon. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 30 Miller Farms Rd, Willington, CT 06279-2128. The current status is active.
| Licensee Name | PARVATHY MADHAVAN |
| Credential ID | 1690514 |
| Credential Number | 1.064299 |
| Credential Type | Physician/Surgeon |
| Business Address |
30 Miller Farms Rd Willington CT 06279-2128 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-09-25 |
| Effective Date | 2020-04-01 |
| Expiration Date | 2021-03-31 |
| Refresh Date | 2020-04-01 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1379485 | CSP.0064047 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2016-09-19 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 1489275 | 1.058514-RES | Resident Physician | 2017-07-01 | 2018-07-01 - 2020-06-30 | ACTIVE |
| Street Address | 30 MILLER FARMS RD |
| City | WILLINGTON |
| State | CT |
| Zip Code | 06279-2128 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Amina Hosaini | 60 Miller Farms Rd, Willington, CT 06279-2128 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Stephen A Filip | 75 Miller Farms Rd, Willington, CT 06279-2128 | Land Surveyor | 2019-04-10 ~ 2020-01-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Travel Centers of America | 327 Ruby Rd, Willington, CT 06279 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Schofield Road | 126 Schofield Road, Willington, CT 06279 | Community Living Arrangement | 2018-07-01 ~ 2020-06-30 |
| Amy L Swank | 42 St Moritz Circle, Willington, CT 06279 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Patricia Locke | 317 River Rd, Willington, CT 06279 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Melissa A Bray | 6 Adamec Road, Willington, CT 06279 | Speech and Language Pathologist | 2020-09-01 ~ 2021-08-31 |
| Cathy A Roy | 9 Hall Hill Road, Willington, CT 06279 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Erin Kathleen Pervine | 11 Phelps Way, Willington, CT 06279 | Nail Technician | 2020-06-15 ~ 2022-06-30 |
| Pamela J Puhlick | 120 Willington Hill Road, Willington, CT 06279 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| David R Newman | 7 Y Road, Willington, CT 06279 | Architect | 2020-08-01 ~ 2021-07-31 |
| Sally Ann Barone | 65 Pinney Hill Rd, Willington, CT 06279 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Find all Licenses in zip 06279 | |||
| City | WILLINGTON |
| Zip Code | 06279 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + WILLINGTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Madhavan Nampoothiri | 94 Amity St Apt 7f, Brooklyn, NY 11201 | Physician/surgeon | ~ 1998-05-31 |
| Ramani Madhavan | 5 Lyons Lane, Coram, NY 11727 | Physician/surgeon | 1997-12-10 ~ 1998-09-30 |
| Vasantha C Madhavan | 1400 Smokey Wood Dr, Pittsburgh, PA 15218-2761 | Physician/surgeon | 1978-06-19 ~ 1985-03-31 |
| Raksha Madhavan | 20 York Street, New Haven, CT 06510 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Asokan Madhavan | 1651 E Glenn St, Tucson, AZ 85719 | Registered Nurse | 2006-06-06 ~ 2007-05-31 |
| Sulakunte R Madhavan · Bureau of Engineering | Pob 154, New Haven, CT 06501 | Professional Engineer | 1995-02-07 ~ 1996-01-31 |
| Raksha Madhavan | 360 State St Apt 1922, New Haven, CT 06510-3618 | Controlled Substance Registration for Practitioner | 2019-06-05 ~ 2021-02-28 |
| 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 |
Please comment or provide details below to improve the information on PARVATHY MADHAVAN.
| 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).