RAGHURAM GORTI MD (Credential# 399741) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2006. The license expiration date date is February 28, 2007. The license status is INACTIVE.
RAGHURAM GORTI MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0037215. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2006. The expiration date is February 28, 2007. The business address is 28 Valley Pond Rd, Katonah, NY 10536. The current status is inactive.
| Licensee Name | RAGHURAM GORTI MD |
| Credential ID | 399741 |
| Credential Number | CSP.0037215 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
28 Valley Pond Rd Katonah NY 10536 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Issue Date | 2005-03-28 |
| Effective Date | 2006-03-01 |
| Expiration Date | 2007-02-28 |
| Refresh Date | 2009-01-26 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 560695 | 1.043113 | Physician/Surgeon | 2005-03-01 | 2005-12-23 - 2006-09-30 | INACTIVE |
| Street Address | 28 VALLEY POND RD |
| City | KATONAH |
| State | NY |
| Zip Code | 10536 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Indira D Gorti Md | 28 Valley Pond Rd, Katonah, NY 10536-3144 | Physician/surgeon | 2016-05-01 ~ 2017-04-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| George Uy Md | Four Winds Hospital, Katonah, NY 10536 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Tatiane V Boyd | 69 Maple Avenue, Katonah, NY 10536 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Kathleen A Scott- Vicari | 12 Primrose Drive, Katonah, NY 10536 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Patrick M Croke | 20 Woodsbridge Road, Katonah, NY 10536 | Architect | 2020-08-01 ~ 2021-07-31 |
| Nelson J Salazar | 66 Edgewood Rd, Katonah, NY 10536 | Real Estate Salesperson | 2019-10-27 ~ 2020-05-31 |
| Zenobia Kellock | 6 Lois Place, Katonah, NY 10536 | Real Estate Salesperson | 2017-06-01 ~ 2018-05-31 |
| Joseph R Kiefer | 16 South Road, Katonah, NY 10536 | Physical Therapist | 2020-05-01 ~ 2021-04-30 |
| Christina M Izzo | 6 Kniffen Rd, Katonah, NY 10536 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Laurence B Sandler | 7 Comanche Court, Katonah, NY 10536 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Christopher J Repp | 65 Harris Rd, Katonah, NY 10536 | Emergency Medical Technician | 2020-10-01 ~ 2022-09-30 |
| Find all Licenses in zip 10536 | |||
| City | KATONAH |
| Zip Code | 10536 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + KATONAH |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Steven Kassels Md · Community Substance Abuse Center | Comm. Physicians PC/125 North Elm Street, Westfield, MA 01085 | Controlled Substance Registration for Practitioner | 2018-06-15 ~ 2019-02-28 |
| Raghuram Nanduri | 9711 Leasdale Rd, Baltimore, MD 21237-5007 | Pharmacist | 2017-09-29 ~ 2018-01-31 |
| Indira D Gorti Md | 28 Valley Pond Rd, Katonah, NY 10536-3144 | Physician/surgeon | 2016-05-01 ~ 2017-04-30 |
| Shu-i Lin | CT | Controlled Substance Registration for Practitioner | 2017-06-12 ~ 2019-02-28 |
| Hae J Kim Pa | New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2008-03-31 ~ 2009-02-28 |
| Erin K Fee | CT | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Arundati Rao | CT | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Min Jin Kim | 639 4th Ave Apt 5c, Brooklyn, NY 11232-1048 | Controlled Substance Registration for Practitioner | 2012-05-10 ~ 2013-02-28 |
| Huu Duc D Luu | 630 Mix Ave Apt 6p, Hamden, CT 06514-2320 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Qi Che Md | Bridgeport, CT 06610 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
Please comment or provide details below to improve the information on RAGHURAM GORTI MD.
| 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).