HAIDEH HIRMAND MD
Physician/surgeon


Address: 1040 Park Ave, New York, NY 10028-1032

HAIDEH HIRMAND MD (Credential# 554857) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is September 1, 2015. The license expiration date date is August 31, 2016. The license status is INACTIVE.

Business Overview

HAIDEH HIRMAND MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.037267. The credential type is physician/surgeon. The effective date is September 1, 2015. The expiration date is August 31, 2016. The business address is 1040 Park Ave, New York, NY 10028-1032. The current status is inactive.

Basic Information

Licensee Name HAIDEH HIRMAND MD
Credential ID 554857
Credential Number 1.037267
Credential Type Physician/Surgeon
Business Address 1040 Park Ave
New York
NY 10028-1032
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1998-09-25
Effective Date 2015-09-01
Expiration Date 2016-08-31
Refresh Date 2016-12-04

Other licenses

ID Credential Code Credential Type Issue Term Status
205016 CSP.0027695 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2009-03-01 - 2011-02-28 INACTIVE

Office Location

Street Address 1040 PARK AVE
City NEW YORK
State NY
Zip Code 10028-1032

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Competitor

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City NEW YORK
Zip Code 10028
License Type Physician/Surgeon
License Type + County Physician/Surgeon + NEW YORK

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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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