BIDARKOTE P SOMANATH MD
Controlled Substance Registration for Practitioner


Address: 140 Grandview Ave Ste 206, Waterbury, CT 06708

BIDARKOTE P SOMANATH MD (Credential# 212339) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.

Business Overview

BIDARKOTE P SOMANATH MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0028181. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is 140 Grandview Ave Ste 206, Waterbury, CT 06708. The current status is active.

Basic Information

Licensee Name BIDARKOTE P SOMANATH MD
Credential ID 212339
Credential Number CSP.0028181
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 140 Grandview Ave Ste 206
Waterbury
CT 06708
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 1999-05-04
Effective Date 2019-03-01
Expiration Date 2021-02-28
Refresh Date 2019-01-02

Other licenses

ID Credential Code Credential Type Issue Term Status
554624 1.037034 Physician/Surgeon 1998-07-02 2020-01-01 - 2020-12-31 ACTIVE

Office Location

Street Address 140 GRANDVIEW AVE STE 206
City WATERBURY
State CT
Zip Code 06708

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Competitor

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City WATERBURY
Zip Code 06708
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + WATERBURY

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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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