VAMSHI MALLAVARAPU MD (Credential# 506650) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2009. The license expiration date date is February 28, 2011. The license status is INACTIVE.
VAMSHI MALLAVARAPU MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0043709. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2009. The expiration date is February 28, 2011. The business address is 247-26b, 76th Ave, Bellerose, NY 11426. The current status is inactive.
Licensee Name | VAMSHI MALLAVARAPU MD |
Credential ID | 506650 |
Credential Number | CSP.0043709 |
Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
Business Address |
247-26b, 76th Ave Bellerose NY 11426 |
Business Type | INDIVIDUAL |
Status | INACTIVE |
Issue Date | 2008-06-30 |
Effective Date | 2009-03-01 |
Expiration Date | 2011-02-28 |
Refresh Date | 2013-03-07 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
564146 | 1.046564 | Physician/Surgeon | 2008-05-23 | 2008-05-23 - 2009-04-30 | INACTIVE |
Street Address | 247-26B, 76TH AVE |
City | BELLEROSE |
State | NY |
Zip Code | 11426 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Rukshana A Miah | 241-31 87 Ave, Bellerose, NY 11426 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
Pamela I Liarikos | 87-22 254th St, Bellerose, NY 11426 | Registered Nurse | 2019-10-01 ~ 2020-09-30 |
Gene G Tronco | 247-70a, Bellerose, NY 11426 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
Karan Lal | 81 07 249st, Bellerose, NY 11426 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
Katherine Mae Reyes Tinampay | 80-31 251 Street, Bellerose, New York City, NY 11426 | Registered Nurse | 2017-11-06 ~ 2018-11-30 |
Sara Najam | 93-02 241st Street, Bellerose, NY 11426 | Dentist | 2018-01-18 ~ 2018-10-31 |
Catherine Wing Yiu C Chan | 251-24 71st Ave #87b, Bellerose, NY 11426 | Pharmacist | 2016-02-01 ~ 2018-01-31 |
Luisa E Arichabala | 242-17 88 Drive, Bellerose, NY 11426 | Registered Nurse | 2017-07-01 ~ 2018-06-30 |
Nathan Arnold Miller Christopherson | 24520 Grand Central Parkway, Bellerose, NY 11426 | Registered Nurse | 2017-03-01 ~ 2018-02-28 |
Saji Mary Samuel | 82 55 247th St, Bellerose, NY 11426 | Professional Engineer | 2012-05-16 ~ 2013-01-31 |
Find all Licenses in zip 11426 |
City | BELLEROSE |
Zip Code | 11426 |
License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + BELLEROSE |
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 |
Raja T Mallavarapu | 2 Oxford Lane, Harriman, NY 10926 | Physician/surgeon | 2009-12-01 ~ 2010-11-30 |
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 |
Min Jin Kim | 639 4th Ave Apt 5c, Brooklyn, NY 11232-1048 | Controlled Substance Registration for Practitioner | 2012-05-10 ~ 2013-02-28 |
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 |
Arundati Rao | CT | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Huu Duc D Luu | 630 Mix Ave Apt 6p, Hamden, CT 06514-2320 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
Noel H Seicol Md | Po Box 436, Rye, NY 10580-0436 | Controlled Substance Registration for Practitioner | 2011-03-11 ~ 2013-02-28 |
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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).