SOWDHAMANI BELLAPU (Credential# 1999070) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is March 2, 2020. The license expiration date date is March 31, 2021. The license status is ACTIVE.
SOWDHAMANI BELLAPU is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.064950. The credential type is physician/surgeon. The effective date is March 2, 2020. The expiration date is March 31, 2021. The business address is 3246 Irwin Ave, Bronx, NY 10463-3705. The current status is active.
Licensee Name | SOWDHAMANI BELLAPU |
Credential ID | 1999070 |
Credential Number | 1.064950 |
Credential Type | Physician/Surgeon |
Business Address |
3246 Irwin Ave Bronx NY 10463-3705 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2020-03-02 |
Effective Date | 2020-03-02 |
Expiration Date | 2021-03-31 |
Refresh Date | 2020-03-03 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
2005473 | CSP.0073121 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2020-03-02 | 2020-03-02 - 2021-02-28 | ACTIVE |
Street Address | 3246 IRWIN AVE |
City | BRONX |
State | NY |
Zip Code | 10463-3705 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Jordan Matlovsky | 3050 Fairfield Ave, Bronx, NY 10463 | Respiratory Care Practitioner | 2020-09-01 ~ 2021-08-31 |
Barry J Kanner Md | 3130 Netherland Ave, Bronx, NY 10463 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Karen L Brooks | 3363 Sedgwick Ave. Apt, 2n, Bronx, NY 10463 | Master's Level Social Worker | 2020-07-01 ~ 2021-06-30 |
Roslyn M. Cusack | 474 W 238th Street, Bronx, NY 10463 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Martin A Drooker | 2500 Johnson Avenue, Apt. 18m, Bronx, NY 10463 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
Yvelisse Aybar | 3850 Sedgwick Avenue, Bronx, NY 10463 | Master's Level Social Worker | 2020-06-01 ~ 2021-05-31 |
Elliot Weiner | 3701 Henry Hudson Parkway, Bronx, NY 10463 | Psychologist | ~ |
Jamie Lee Diaz Monsale | 3611 Henry Hudson Parkway, Apt 5e, Bronx, NY 10463 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
Gerald Pontones | 60 Knolls Crescent 2j, Bronx, NY 10463 | Home Improvement Salesperson | 2020-03-09 ~ 2020-11-30 |
Iniva R Ngaka | 2287 Johnson Avenue Apt. 11c, Bronx, NY 10463 | Dentist | 2020-03-01 ~ 2021-02-28 |
Find all Licenses in zip 10463 |
City | BRONX |
Zip Code | 10463 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + BRONX |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
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 |
Arnold R Kriegstein | College Physician, New York, NY 10032 | Physician/surgeon | 1993-04-23 ~ 1994-03-31 |
John T Thompson | Physician Pavilion W, Towson, MD 21204 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Catherine Nguyen Keegan | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
Brent Robert Jacobson | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
Nazanin Barzideh Md | North Shore Retina Physician, Pllc, East Hills, NY 11576 | Physician/surgeon | 2010-05-01 ~ 2011-04-30 |
Sajot S Grewal Md | Danbury Office of Physician Services PC, Danbury, CT 06810 | Physician/surgeon | 2004-01-30 ~ 2005-03-31 |
Susan J Batlan Md | Eye Physician Associates of Hartford, West Hartford, CT 06107 | Physician/surgeon | 2000-07-27 ~ 2001-07-31 |
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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).