SHAHNAZ HUSSAIN MD
Physician/surgeon


Address: 1 Kensington Place, Farmington, CT 06032

SHAHNAZ HUSSAIN MD (Credential# 545028) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2020. The license expiration date date is June 30, 2021. The license status is ACTIVE.

Business Overview

SHAHNAZ HUSSAIN MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.024449. The credential type is physician/surgeon. The effective date is July 1, 2020. The expiration date is June 30, 2021. The business address is 1 Kensington Place, Farmington, CT 06032. The current status is active.

Basic Information

Licensee Name SHAHNAZ HUSSAIN MD
Credential ID 545028
Credential Number 1.024449
Credential Type Physician/Surgeon
Business Address 1 Kensington Place
Farmington
CT 06032
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 1983-09-14
Effective Date 2020-07-01
Expiration Date 2021-06-30
Refresh Date 2020-06-13

Other licenses

ID Credential Code Credential Type Issue Term Status
1220401 CSP.0057112 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2014-05-21 2019-03-01 - 2021-02-28 ACTIVE
143775 CSP.0012355 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2013-03-01 - 2015-02-28 INACTIVE
209017 CSP.0027845 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2013-04-12 - 2013-02-28 INACTIVE

Office Location

Street Address 1 kensington place
City farmington
State CT
Zip Code 06032

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Kimberly A. Caprio Hartford Healthcare Medical Group, Farmington, CT 06032 Physician/surgeon 2020-07-01 ~ 2021-06-30
Stephanie A. Fink 22 Kent Lane, Farmington, CT 06032 Registered Nurse 2020-07-01 ~ 2021-06-30
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Competitor

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City farmington
Zip Code 06032
License Type Physician/Surgeon
License Type + County Physician/Surgeon + farmington

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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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