SANJAY O TEWARI MD (Credential# 560393) 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.
SANJAY O TEWARI MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.042811. The credential type is physician/surgeon. The effective date is July 1, 2020. The expiration date is June 30, 2021. The business address is 15 Straight Ln, North Creek, NY 12853. The current status is active.
| Licensee Name | SANJAY O TEWARI MD |
| Doing Business As | I |
| Credential ID | 560393 |
| Credential Number | 1.042811 |
| Credential Type | Physician/Surgeon |
| Business Address |
15 Straight Ln North Creek NY 12853 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2004-09-16 |
| Effective Date | 2020-07-01 |
| Expiration Date | 2021-06-30 |
| Refresh Date | 2020-04-18 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 410388 | CSP.0037786 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2005-07-08 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 15 straight ln |
| City | North Creek |
| State | NY |
| Zip Code | 12853 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Anne Brassel | 6 Circle Avenue, North Creek, NY 12853 | Real Estate Broker | 2020-04-01 ~ 2021-03-31 |
| David L Ordway | P.o.box 354, North Creek, NY 12853 | Crane Operator | 2011-08-08 ~ 2013-08-07 |
| City | North Creek |
| Zip Code | 12853 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + North Creek |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Priti Tewari | 9 Friendly Rd, Hicksville, NY 11801-6311 | Physician/surgeon | 2013-11-01 ~ 2014-10-31 |
| Anand Tewari | 5730 Solway St, Pittsburgh, PA 15217 | Physician/surgeon | 1996-03-01 ~ 1996-11-30 |
| Arpana G Tewari | 15826 West Carmen Drive, Surprise, AZ 85374 | Physician/surgeon | 2008-09-02 ~ 2009-09-30 |
| Sanjay V Kamath | 22 Llanfair Rd, Ardmore, PA 19003-2320 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
| Sanjay K Gupta | 60 Old New Milford Rd, Brookfield, CT 06804 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Sanjay K Arora | 4 Skyview Ter, Clifton, NJ 07013-1382 | Physician/surgeon | 2012-04-01 ~ 2013-03-31 |
| Sanjay K Gupta | Apt 3402, New York, NY 10069 | Physician/surgeon | 2017-01-01 ~ 2017-12-31 |
| Sanjay D. Nerkar | 3 Westway, Hartsdale, NY 10530-2124 | Physician/surgeon | 2013-09-01 ~ 2014-08-31 |
| Sanjay Patel | 51 Schuyler Ave, Stamford, CT 06902-3730 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Sanjay Fernando Md | 1 Herald Sq, New Britain, CT 06051-5006 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
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| 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).