SHASHI K B CHADDHA MD
Physician/surgeon


Address: 1711 Fairfield Beach Rd, Fairfield, CT 06824-6565

SHASHI K B CHADDHA MD (Credential# 541749) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2015. The license expiration date date is June 30, 2016. The license status is INACTIVE.

Business Overview

SHASHI K B CHADDHA MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.016038. The credential type is physician/surgeon. The effective date is July 1, 2015. The expiration date is June 30, 2016. The business address is 1711 Fairfield Beach Rd, Fairfield, CT 06824-6565. The current status is inactive.

Basic Information

Licensee Name SHASHI K B CHADDHA MD
Credential ID 541749
Credential Number 1.016038
Credential Type Physician/Surgeon
Business Address 1711 Fairfield Beach Rd
Fairfield
CT 06824-6565
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1973-05-29
Effective Date 2015-07-01
Expiration Date 2016-06-30
Refresh Date 2016-10-03

Other licenses

ID Credential Code Credential Type Issue Term Status
942705 CSP.0047929 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2010-07-13 2010-07-13 - 2011-02-28 INACTIVE

Office Location

Street Address 1711 FAIRFIELD BEACH RD
City FAIRFIELD
State CT
Zip Code 06824-6565

Licenses in the same location

Licensee Name Office Address Credential Effective / Expiration
Subhash Chaddha Md 1711 Fairfield Beach Rd, Fairfield, CT 06824-6565 Physician/surgeon 2018-09-01 ~ 2019-08-31

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Michael P Brennan 338 Sturges Rd, Fairfield, CT 06824 Real Estate Salesperson 2020-06-23 ~ 2021-05-31
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Competitor

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City FAIRFIELD
Zip Code 06824
License Type Physician/Surgeon
License Type + County Physician/Surgeon + FAIRFIELD

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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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