SYLAZA KANTAMNENI MD
Controlled Substance Registration for Practitioner


Address: 176 Kingfisher Rd, Levittown, NY 11756-2142

SYLAZA KANTAMNENI MD (Credential# 512472) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2013. The license expiration date date is February 28, 2015. The license status is INACTIVE.

Business Overview

SYLAZA KANTAMNENI MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0044484. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2013. The expiration date is February 28, 2015. The business address is 176 Kingfisher Rd, Levittown, NY 11756-2142. The current status is inactive.

Basic Information

Licensee Name SYLAZA KANTAMNENI MD
Credential ID 512472
Credential Number CSP.0044484
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 176 Kingfisher Rd
Levittown
NY 11756-2142
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2008-08-27
Effective Date 2013-03-01
Expiration Date 2015-02-28
Refresh Date 2016-01-29

Office Location

Street Address 176 KINGFISHER RD
City LEVITTOWN
State NY
Zip Code 11756-2142

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Competitor

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City LEVITTOWN
Zip Code 11756
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + LEVITTOWN

Similar businesses

Licensee Name Office Address Credential Effective / Expiration
Sylaza Kantamneni 176 Kingfisher Road, Levit Town, NY 11756 Physician/surgeon 2012-08-01 ~ 2013-07-31
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Min Jin Kim 639 4th Ave Apt 5c, Brooklyn, NY 11232-1048 Controlled Substance Registration for Practitioner 2012-05-10 ~ 2013-02-28
Qi Che Md Bridgeport, CT 06610 Controlled Substance Registration for Practitioner 2006-03-01 ~ 2007-02-28
Huu Duc D Luu 630 Mix Ave Apt 6p, Hamden, CT 06514-2320 Controlled Substance Registration for Practitioner 2011-03-01 ~ 2013-02-28
Hae J Kim Pa New Haven, CT 06511 Controlled Substance Registration for Practitioner 2008-03-31 ~ 2009-02-28
Arundati Rao CT Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
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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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