KETAN R BULSARA (Credential# 465722) 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.
KETAN R BULSARA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0041238. 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 333 Cedar Street - LLCi 816b, New Haven, CT 06520. The current status is active.
| Licensee Name | KETAN R BULSARA |
| Credential ID | 465722 |
| Credential Number | CSP.0041238 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
333 Cedar Street - LLCi 816b New Haven CT 06520 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2007-06-12 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-09 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ketan R Bulsara | Uconn Health, Farmington, CT 06030-8073 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Street Address | 333 CEDAR STREET - LLCI 816B |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06520 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Orchestra New England | P.o. Box 200123, New Haven, CT 06520 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Catherine A Dinauer | 333 Cedar St., Fmb 131, New Haven, CT 06520 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Kofi Agyare Mensah | 300 Cedar Street, New Haven, CT 06520 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Kevin Huang | 330 Cedar Street, New Haven, CT 06520 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Mubdiul Imtiaz Ali | 300 Cedar St, Tac S425, New Haven, CT 06520 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Dr Akhil Khosla | 300 Cedar St, Tac S425 P.o. Box 208057, New Haven, CT 06520 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Scott N Gettinger Md | 333 Cedar St-yale Cancer Center, New Haven, CT 06520 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Lindsay Sarah Mcalpine | Yale -new Haven Hospital, New Haven, CT 06520 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Michael Hurwitz | 333 Cedar St Www211, New Haven, CT 06520 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Patrick M Popiel | Yale University, Department of Ob/gyn, New Haven, CT 06520 | Resident Physician | 2017-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06520 | |||
| City | NEW HAVEN |
| Zip Code | 06520 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NEW HAVEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ketan Patel | 6 East Ln Apt E, Bloomfield, CT 06002-3453 | Controlled Substance Registration for Practitioner | 2015-07-27 ~ 2017-02-28 |
| Ketan M Trivedi Md | 5 Pope St, New Haven, CT 06512 | Controlled Substance Registration for Practitioner | 2007-03-01 ~ 2008-02-29 |
| Shivani Ketan Shah | 20 York St, New Haven, CT 06510-3220 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Ketan R Mody Md | 99 Woodland Street, Hartford, CT 06105 | Controlled Substance Registration for Practitioner | 2007-03-01 ~ 2008-02-29 |
| Ketan M Gala | 1600 Arch Street, Philadelphia, PA 19103 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Ketan P Parikh Md | Harrisonburg Med Assoc, Harrisonburg, VA 22801 | Controlled Substance Registration for Practitioner | 2003-03-01 ~ 2004-02-28 |
| 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 |
| Shu-i Lin | CT | Controlled Substance Registration for Practitioner | 2017-06-12 ~ 2019-02-28 |
| Erin K Fee | CT | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| 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 KETAN R BULSARA.
| 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).