BHARTI J SHAH
Physician/surgeon


Address: 30 Beachfront La, New Rochelle, NY 10805

BHARTI J SHAH (Credential# 542948) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is June 11, 2009. The license expiration date date is July 31, 2010. The license status is INACTIVE.

Business Overview

BHARTI J SHAH is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.019244. The credential type is physician/surgeon. The effective date is June 11, 2009. The expiration date is July 31, 2010. The business address is 30 Beachfront La, New Rochelle, NY 10805. The current status is inactive.

Basic Information

Licensee Name BHARTI J SHAH
Credential ID 542948
Credential Number 1.019244
Credential Type Physician/Surgeon
Business Address 30 Beachfront La
New Rochelle
NY 10805
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1986-07-01
Effective Date 2009-06-11
Expiration Date 2010-07-31
Refresh Date 2010-11-02

Office Location

Street Address 30 BEACHFRONT LA
City NEW ROCHELLE
State NY
Zip Code 10805

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Bob Borja 720 Pelham Road, New Rochelle, NY 10805 Registered Nurse ~
Levy Wallace 50 Davenport Ave Apt 3m, New Rochelle, NY 10805 Resident Physician 2020-07-01 ~ 2023-06-30
Shakia T Amaro 140 Pelham Rd, New Rochelle, NY 10805 Youth Camp Director 2020-06-11 ~
Richard L Kahn 770 Davenport Ave, New Rochelle, NY 10805 Physician/surgeon 2020-08-01 ~ 2021-07-31
Alec Louis Pura Cruz 184 Drake Ave, New Rochelle, NY 10805 Registered Nurse 2020-07-01 ~ 2021-06-30
Anthony Marciano Real Estate Inc 51 Windsor Oval, New Rochelle, NY 10805 Real Estate Broker 2009-04-01 ~ 2010-03-31
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Competitor

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City NEW ROCHELLE
Zip Code 10805
License Type Physician/Surgeon
License Type + County Physician/Surgeon + NEW ROCHELLE

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Maully J Shah 282 Washington St, Hartford, CT 06106 Physician/surgeon ~ 1999-08-31
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Neel P Shah 39 Hospital Ave, Danbury, CT 06810-6027 Physician/surgeon 2018-04-01 ~ 2019-03-31
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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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