VIVEK DHUNGANA (Credential# 2032316) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 14, 2020. The license expiration date date is February 28, 2021. The license status is ACTIVE.
VIVEK DHUNGANA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.065596. The credential type is physician/surgeon. The effective date is May 14, 2020. The expiration date is February 28, 2021. The business address is 400 Blake Street, New Haven, CT 06515. The current status is active.
| Licensee Name | VIVEK DHUNGANA |
| Credential ID | 2032316 |
| Credential Number | 1.065596 |
| Credential Type | Physician/Surgeon |
| Business Address |
400 Blake Street New Haven CT 06515 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2020-05-14 |
| Effective Date | 2020-05-14 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2020-05-18 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1487759 | 1.057441-RES | Resident Physician | 2016-07-01 | 2016-07-01 - 2020-06-30 | ACTIVE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Vivek Dhungana | 185 Canal St Unit 1028, Shelton, CT 06484-8123 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Street Address | 400 Blake Street |
| City | New Haven |
| State | CT |
| Zip Code | 06515 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Cheryl D Hurdle | 400 Blake Street, New Haven, CT 06515 | Notary Public Appointment | 2018-04-30 ~ 2023-04-30 |
| David Goffman | 400 Blake Street, New Haven, CT 06515 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Bonnie O Hicks | 400 Blake Street, New Haven, CT 06515 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Sree Teja Yelamanchili | 400 Blake Street, New Haven, CT 06515 | Resident Physician | 2019-07-01 ~ 2021-06-30 |
| Julie Ann Colangelo | 400 Blake Street, New Haven, CT 06515 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Garrett Graham | 400 Blake Street, New Haven, CT 06515 | Physical Therapist | 2020-06-01 ~ 2021-05-31 |
| Lynesha Murphy | 400 Blake Street, New Haven, CT 06515 | Medication Administration Certification | 2019-05-02 ~ 2021-05-02 |
| Cynthia N Wilson Md | 400 Blake Street, New Haven, CT 06515 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Rita Nieu | 400 Blake Street, New Haven, CT 06515 | Optometrist | 2019-09-03 ~ 2020-09-30 |
| Deeksha Chopra | 400 Blake Street, New Haven, CT 06515 | Resident Physician | 2014-07-01 ~ 2019-06-30 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lakiya D Nichols | 114 Davis Street, New Haven, CT 06515 | Radiographer | 2020-07-01 ~ 2021-06-30 |
| Danielle E Guadalupe | 30 Whittier Road, New Haven, CT 06515 | Master's Level Social Worker | 2020-07-01 ~ 2021-06-30 |
| Mcdonald's | 1094 Whalley Ave, New Haven, CT 06515 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Hilda Rocio Sanango | 86 Springside Av, New Haven, CT 06515 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Manuel Francisco Cabrera | 86 Springside Av Apt D5, New Haven, CT 06515 | Nail Technician | ~ |
| Arthur L Sanders | 2001 Chapel St, New Haven, CT 06515 | Architect | 2020-08-01 ~ 2021-07-31 |
| Athan Construction LLC | 243 West Elm St, New Haven, CT 06515 | Home Improvement Contractor | 2020-06-25 ~ 2020-11-30 |
| Jessica L Feinleib | 72 Barnett, New Haven, CT 06515 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Joyce A Gambrell-jones | 241 Alden Ave, New Haven, CT 06515 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Charmaine Waller | 110 Harper Ave, New Haven, CT 06515 | Licensed Practical Nurse | ~ |
| Find all Licenses in zip 06515 | |||
| City | New Haven |
| Zip Code | 06515 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + New Haven |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Vivek S. Jagadale | 132 Noyant Dr., Little Rock, AR 72223 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Vivek Iyer | 21 Audubon Avenue, New York, NY 10032 | Physician/surgeon | 2015-10-19 ~ 2016-04-30 |
| Vivek Yerrapu Reddy | 1 Gustave L Levy Pl, New York, NY 10029-6504 | Physician/surgeon | ~ |
| Vivek Sehgal | 2400 N Lakeview, Chicago, IL 48009 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Vivek K Vijayamadhavan | 8333 Braesmain Drive, Houston, TX 77025 | Physician/surgeon | 2008-08-25 ~ 2009-08-31 |
| Vivek Venkatakrishnan | 118 Avalon Gardens Drive, Nanuet, NY 10954 | Physician/surgeon | 2009-06-01 ~ 2010-06-30 |
| Rashmi Vivek Thatte | 44 Bradford Walk, Farmington, CT 06032 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Simha Vivek Jagadeesh | 1768 Business Center Drive, Reston, VA 20190 | Physician/surgeon | ~ |
| Vivek Mangla | 2807 Daniel Mccall Drive, Lufkin, TX 75904 | Physician/surgeon | 2007-09-21 ~ 2008-09-30 |
| Vivek P Chadayammuri | 9282 E 146th Ave, Brighton, CO 80602-5716 | Resident Physician | 2017-07-01 ~ 2022-06-30 |
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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).