MANASI M SHAH MD
Controlled Substance Registration for Practitioner


Address: 23 Mattabasset Dr, Meriden, CT 06450-7427

MANASI M SHAH MD (Credential# 537297) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 7, 2013. The license expiration date date is February 28, 2015. The license status is INACTIVE.

Business Overview

MANASI M SHAH MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0045808. The credential type is controlled substance registration for practitioner. The effective date is March 7, 2013. The expiration date is February 28, 2015. The business address is 23 Mattabasset Dr, Meriden, CT 06450-7427. The current status is inactive.

Basic Information

Licensee Name MANASI M SHAH MD
Credential ID 537297
Credential Number CSP.0045808
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 23 Mattabasset Dr
Meriden
CT 06450-7427
Business Type INDIVIDUAL
Status INACTIVE
Issue Date 2009-07-24
Effective Date 2013-03-07
Expiration Date 2015-02-28
Refresh Date 2016-01-29

Other licenses

ID Credential Code Credential Type Issue Term Status
565411 1.047829 Physician/Surgeon 2009-06-22 2014-01-01 - 2014-12-31 INACTIVE

Office Location

Street Address 23 MATTABASSET DR
City MERIDEN
State CT
Zip Code 06450-7427

Licenses in the same location

Licensee Name Office Address Credential Effective / Expiration
Anuj R Shah Md 23 Mattabasset Dr, Meriden, CT 06450 Controlled Substance Registration for Practitioner 2011-03-01 ~ 2013-02-28

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Competitor

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City MERIDEN
Zip Code 06450
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + MERIDEN

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Palak S Shah 8 Prospect St, Ansonia, CT 06401-1519 Controlled Substance Registration for Practitioner 2009-06-26 ~ 2011-02-28
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Riddhi S Shah 5 Normandy Dr, Bethpage, NY 11714-6009 Controlled Substance Registration for Practitioner 2017-03-01 ~ 2019-02-28
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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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