KALPANA SHAH (Credential# 2042164) 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, 2024. The license status is ACTIVE.
KALPANA SHAH is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.065390-RES. The credential type is resident physician. The effective date is July 1, 2020. The expiration date is June 30, 2024. The business address is 2800 Main Street, Bridgeport, CT 06606. The current status is active.
| Licensee Name | KALPANA SHAH |
| Credential ID | 2042164 |
| Credential Number | 1.065390-RES |
| Credential Type | Resident Physician |
| Credential SubCategory | RES |
| Business Address |
2800 Main Street Bridgeport CT 06606 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2020-07-01 |
| Effective Date | 2020-07-01 |
| Expiration Date | 2024-06-30 |
| Refresh Date | 2020-05-04 |
| Street Address | 2800 Main Street |
| City | Bridgeport |
| State | CT |
| Zip Code | 06606 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Vivek Kesari | 2800 Main Street, Bridgeport, CT 06606 | Resident Physician | 2020-07-01 ~ 2024-06-30 |
| Yassir J Ahmad | 2800 Main Street, Bridgeport, CT 06606 | Resident Physician | 2020-07-01 ~ 2024-06-30 |
| Pankaj Nepal | 2800 Main Street, Bridgeport, CT 06606 | Resident Physician | 2018-07-01 ~ 2022-06-30 |
| Simon Castro | 2800 Main Street, Bridgeport, CT 06606 | Resident Physician | 2018-07-01 ~ 2021-08-24 |
| Dena Asaad Reiter | 2800 Main Street, Bridgeport, CT 06606 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Sumara Imtiaz Choudhry | 2800 Main Street, Bridgeport, CT 06610-1662 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| Maureen Mansour | 2800 Main Street, Bridgeport, CT 06606 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Reba Varughese | 2800 Main Street, Bridgeport, CT 06606 | Resident Physician | 2018-07-01 ~ 2021-06-30 |
| Sylvester Dorobisz | 2800 Main Street, Bridgeport, CT 06606 | Resident Physician | 2018-07-01 ~ 2021-06-30 |
| Pius Osei-bagyina | 2800 Main Street, Bridgeport, CT 06606 | Resident Physician | 2018-07-01 ~ 2021-06-30 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Julia Lopez | 147 Rocton Ave, Bridgeport, CT 06606 | Nail Technician | ~ |
| Sonia M Lozada | 207 Jackson Avenue, Bridgeport, CT 06606 | Notary Public Appointment | 2020-09-01 ~ 2025-08-31 |
| Angelo Preci · E&j Package Store | 4500 Main Street, Bridgeport, CT 06606 | Package Store Liquor | 2020-07-15 ~ 2021-07-14 |
| Sarah Akinosho Ogunbiyi | 438 Chopsey Hill Rd, Bridgeport, CT 06606 | Medication Administration Certification | 2020-05-04 ~ 2022-05-03 |
| Luz Aida Mora | 435 High Ridge Drive, Bridgeport, CT 06606 | Professional Counselor | ~ |
| Hortensia E Wright | 376 Funston Ave, Bridgeport, CT 06606 | Licensed Practical Nurse | 2020-06-01 ~ 2021-05-31 |
| Jacqueline Moffatt | 173 Queen Street, Bridgeport, CT 06606 | Master's Level Social Worker | ~ |
| Marisa L Drapp | 9b Patricia Road, Bridgeport, CT 06606 | Real Estate Salesperson | ~ |
| Robert D Meeker | 57 Alexander Avenue, Bridgeport, CT 06606 | Public Weigher | 2020-07-01 ~ 2021-06-30 |
| D'andria L Young | 394 Indian Ave, Bridgeport, CT 06606 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Find all Licenses in zip 06606 | |||
| City | Bridgeport |
| Zip Code | 06606 |
| License Type | Resident Physician |
| License Type + County | Resident Physician + Bridgeport |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kalpana Reddy | 90 South Main St., Middletown, CT 06457 | Resident Physician | 2019-06-24 ~ 2023-07-02 |
| Krina Shah | 20 York St, New Haven, CT 06510-3220 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Misty Shah | 20 York St, New Haven, CT 06510-3220 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Anil Shah | 1 Hospital Plz, Stamford, CT 06902-3602 | Resident Physician | 2019-07-01 ~ 2024-06-30 |
| Akash Shah | 24 Hospital Ave, Danbury, CT 06810-6099 | Resident Physician | 2018-06-21 ~ 2021-06-30 |
| Tayyab H Shah | 20 York St, New Haven, CT 06510-3220 | Resident Physician | 2020-06-11 ~ 2021-06-30 |
| Samit Kumar Shah | 20 York St, New Haven, CT 06510-3220 | Resident Physician | 2016-06-27 ~ 2019-06-30 |
| Myra Rashmi Shah | 34 Maple St, Norwalk, CT 06850-3815 | Resident Physician | 2018-06-25 ~ 2021-06-30 |
| Nimish Narendra Shah | 20 York St, New Haven, CT 06510-3220 | Resident Physician | 2019-07-01 ~ 2021-06-30 |
| Achal Shah | 20 York Street, New Haven, CT 06450 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
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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).