PRIYA RASTOGI MD (Credential# 562161) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is October 1, 2016. The license expiration date date is September 30, 2017. The license status is INACTIVE.
PRIYA RASTOGI MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.044579. The credential type is physician/surgeon. The effective date is October 1, 2016. The expiration date is September 30, 2017. The business address is 6 Kimberly Dr, Huntington, CT 06484-5773. The current status is inactive.
| Licensee Name | PRIYA RASTOGI MD |
| Credential ID | 562161 |
| Credential Number | 1.044579 |
| Credential Type | Physician/Surgeon |
| Business Address |
6 Kimberly Dr Huntington CT 06484-5773 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2006-07-13 |
| Effective Date | 2016-10-01 |
| Expiration Date | 2017-09-30 |
| Refresh Date | 2018-01-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 378905 | CSP.0035642 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2004-08-25 | 2015-03-01 - 2017-02-28 | INACTIVE |
| Street Address | 6 KIMBERLY DR |
| City | HUNTINGTON |
| State | CT |
| Zip Code | 06484-5773 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Omar T Sobh | 18 Kimberly Dr, Shelton, CT 06484-5773 | Resident Physician | 2019-06-24 ~ 2023-06-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Scott J Kudravy | 2a Garden Ter, Shelton, CT 06484 | Radiographer | 2020-08-01 ~ 2021-07-31 |
| Melissa E Filanowski | 265 Mohegan Rd, Shelton, CT 06484 | Licensed Practical Nurse | 2020-09-01 ~ 2021-08-31 |
| Danuta Adamson · Chmiel | 101 Dickinson Drive, Shelton, CT 06484 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Sandra E Mercier | 234 Deer Run, Huntington, CT 06484 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Ping Li | 17 Coram Rd 3c, Shelton, CT 06484 | Nail Technician | ~ |
| Victoria Mary Bucci | 53 Isinglass Rd, Shelton, CT 06484 | Master's Level Social Worker | ~ |
| Samuel L Smith | 122 Maple Avenue, Shelton, CT 06484 | Dietitian/nutritionist | 2020-08-01 ~ 2021-07-31 |
| Cindy Hubbell Vidal | 17 Sherwood Lane, Shelton, CT 06484 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Rosa Conners | 189 Coram Avenue, Shelton, CT 06484 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Erica Azzarito | 40 Clinton Drive, Shelton, CT 06484 | Notary Public Appointment | 2020-08-01 ~ 2025-07-31 |
| Find all Licenses in zip 06484 | |||
| City | HUNTINGTON |
| Zip Code | 06484 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + HUNTINGTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Ritu Rastogi Md | 50c Knights Bridge, Guilderland, NY 12084 | Physician/surgeon | 2000-02-11 ~ 2001-02-28 |
| Deepa S Rastogi | 13 Innes Road, Scarsdale, NY 10583 | Physician/surgeon | ~ 2000-06-30 |
| Amit Rastogi | 913 Georgetown Ridge Court, Trumbull, CT 22102 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| Priya P Roy Md | 300 Kensington Ave, New Britain, CT 06051 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Priya Mohani | 257 Tanglewood Dr, Longmeadow, MA 01106-1662 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Priya Tandon Md | 7 Park Ave Ste 1, Colchester, CT 06415-1128 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Priya Airen | 10 Shady Brook Ln, Cranbury, NJ 08512-2611 | Physician/surgeon | ~ |
| Krishna Priya M Raju Md | 15 Corporate Dr, Trumbull, CT 06611 | Physician/surgeon | 2003-11-21 ~ 2004-11-30 |
| Savitri Priya Ramdial | 66 Rockwell Place, Brooklyn, NY 11217 | Physician/surgeon | 2016-12-01 ~ 2017-12-31 |
| Priya Cardone | 263 Farmington Ave, Farmington, CT 06030-0001 | Physician/surgeon | ~ |
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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).