AJANTA NAIDU
Physician/surgeon


Address: 1090 Amsterdam Ave # 6b, New York, NY 10025-1737

AJANTA NAIDU (Credential# 2044337) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is September 17, 1979. The license expiration date date is May 31, 1981. The license status is INACTIVE.

Business Overview

AJANTA NAIDU is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.021228. The credential type is physician/surgeon. The effective date is September 17, 1979. The expiration date is May 31, 1981. The business address is 1090 Amsterdam Ave # 6b, New York, NY 10025-1737. The current status is inactive.

Basic Information

Licensee Name AJANTA NAIDU
Credential ID 2044337
Credential Number 1.021228
Credential Type Physician/Surgeon
Business Address 1090 Amsterdam Ave # 6b
New York
NY 10025-1737
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1979-09-17
Effective Date 1979-09-17
Expiration Date 1981-05-31
Refresh Date 2020-05-12

Office Location

Street Address 1090 AMSTERDAM AVE # 6B
City NEW YORK
State NY
Zip Code 10025-1737

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City NEW YORK
Zip Code 10025
License Type Physician/Surgeon
License Type + County Physician/Surgeon + NEW YORK

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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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