SHOBHANA PATHANI
Physician/surgeon


Address: Department of Medicine, 263 Farmington Ave, CT 06030

SHOBHANA PATHANI (Credential# 560048) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2020. The license expiration date date is May 31, 2021. The license status is ACTIVE.

Business Overview

SHOBHANA PATHANI is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.042466. The credential type is physician/surgeon. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is Department of Medicine, 263 Farmington Ave, CT 06030. The current status is active.

Basic Information

Licensee Name SHOBHANA PATHANI
Credential ID 560048
Credential Number 1.042466
Credential Type Physician/Surgeon
Business Address Department of Medicine
263 Farmington Ave
CT 06030
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2004-05-21
Effective Date 2020-06-01
Expiration Date 2021-05-31
Refresh Date 2020-03-02

Other licenses

ID Credential Code Credential Type Issue Term Status
1160924 CSP.0054612 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2013-05-29 2019-03-01 - 2021-02-28 ACTIVE
372230 CSP.0035001 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2004-06-04 2004-06-04 - 2005-02-28 INACTIVE

Office Location

Street Address DEPARTMENT OF MEDICINE
City 263 FARMINGTON AVE
State CT
Zip Code 06030

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Eric Anthony Brueckner 263 Farmington Ave., Farmington, CT 06030 Physician/surgeon 2020-08-01 ~ 2021-07-31
Derrick B Bremang Residency Program, Farmington, CT 06030 Physician/surgeon 2020-06-01 ~ 2021-06-30
David M Shafer Uconn Health Center, Farmington, CT 06030 Dentist 2020-07-01 ~ 2021-06-30
Michael J Murphy Dept of Dermatology, Farmington, CT 06030 Physician/surgeon 2020-09-01 ~ 2021-08-31
Richard F Kaplan Univ. of Ct., Farmington, CT 06030 Psychologist 2020-06-01 ~ 2021-05-31
Nicholas George Vitale 22 Woods Drive, Norwich, CT 06030 Casino Class I Employee 2019-12-03 ~ 2020-10-31
Bruce E Gould Univ of Conn Health Center, Farmington, CT 06030 Physician/surgeon 2020-04-01 ~ 2021-03-31
Vinayak M Sathe Uconn Health Center,263 Farmington Ave, Farmington, CT 06030 Physician/surgeon 2020-06-01 ~ 2021-05-31
Patricia L Almeida John Dempsey Hospital, Farmington, CT 06030 Registered Nurse 2020-04-01 ~ 2021-03-31
Adrienne B Berke Md Uconn Health Ctr Dermatology Mc-6230, Farmington, CT 06030 Physician/surgeon 2020-04-01 ~ 2021-03-31
Find all Licenses in zip 06030

Competitor

Search similar business entities

City 263 FARMINGTON AVE
Zip Code 06030
License Type Physician/Surgeon
License Type + County Physician/Surgeon + 263 FARMINGTON AVE

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Penny Lamhut Md Genesis Physician Services, Windsor, CT 06098 Physician/surgeon 1999-07-15 ~ 2000-07-31
Arnold R Kriegstein College Physician, New York, NY 10032 Physician/surgeon 1993-04-23 ~ 1994-03-31
John T Thompson Physician Pavilion W, Towson, MD 21204 Physician/surgeon 2020-07-01 ~ 2021-06-30
Brent Robert Jacobson Envision Physician Services, Dallas, TX 75240 Physician/surgeon 2020-09-01 ~ 2021-08-31
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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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