PRASAD PANTHAGANI MD (Credential# 562441) 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.
PRASAD PANTHAGANI MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.044859. The credential type is physician/surgeon. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 701 Cottage Grove Rd Ste B210, Bloomfield, CT 06002-3091. The current status is active.
| Licensee Name | PRASAD PANTHAGANI MD |
| Credential ID | 562441 |
| Credential Number | 1.044859 |
| Credential Type | Physician/Surgeon |
| Business Address |
701 Cottage Grove Rd Ste B210 Bloomfield CT 06002-3091 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2006-10-17 |
| Effective Date | 2020-06-01 |
| Expiration Date | 2021-05-31 |
| Refresh Date | 2020-04-04 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 462844 | CSP.0041118 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2007-02-13 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 701 COTTAGE GROVE RD STE B210 |
| City | BLOOMFIELD |
| State | CT |
| Zip Code | 06002-3091 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Paula L Raines | 92 Daniel Blvd, Bloomfield, CT 06002 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Kesone Taletia Telfer | 36 Walsh Street, Bloomfield, CT 06002 | Advanced Practice Registered Nurse | ~ |
| Joan Zito Upton | 106 Duncaster Road, Bloomfield, CT 06002 | Dental Hygienist | 2020-08-01 ~ 2021-07-31 |
| Sheri M Sparks | Primary Eye Care Center, Bloomfield, CT 06002 | Optometrist | 2020-09-01 ~ 2021-08-31 |
| Kaman Aerospace Corporation | Old Windsor Road, Bloomfield, CT 06002 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Healing Meals Foundation Corporation | Po Box 7223, Bloomfield, CT 06002 | Public Charity | 2020-12-01 ~ 2021-11-30 |
| Taylor A West | 5 Tiffany Ln, Bloomfield, CT 06002 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Emma J Ranel | 53 Burr Road, Bloomfield, CT 06002 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Dorothy W Field | 177 Oliver Way, Bloomfield, CT 06002 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Carol J Mortensen | 6 Maple Edge Dr, Bloomfield, CT 06002 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06002 | |||
| City | BLOOMFIELD |
| Zip Code | 06002 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + BLOOMFIELD |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Indira Panthagani | 10 Southgate, Avon, CT 06001-3195 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Manju Prasad | 310 Cedar St, New Haven, CT 06510-3218 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Priyajit Prasad Md | 333 Cedar St, New Haven, CT 06520 | Physician/surgeon | 2004-02-06 ~ 2005-02-28 |
| Monika Prasad | 12 Wintonbury Drive, Farmington, CT 06032 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Jeetendra Prasad Sah | 1 Brookdale Plaza, Brooklyn, NY 11212 | Physician/surgeon | 2018-07-09 ~ 2019-02-28 |
| Sujata Prasad | 50 Strawberry Hill Rd, Madison, CT 06443-2002 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Prasad Devarajan Md · Yale School of Medicine | Department of Pediatrics, New Haven, CT 06510 | Physician/surgeon | 1997-12-24 ~ 1999-02-28 |
| Prasad Project Inc. | 465 Brickman Road, Hurleyville, NY 12747 | Public Charity | ~ |
| Usha Prasad | 190 Lancaster Way, Cheshire, CT 06410-1526 | Resident Physician | 2020-07-01 ~ 2022-06-30 |
| Prasad V Kurella | 293 Turnpike Rd, Westborough, MA 01581-2826 | Dentist | 2010-08-01 ~ 2011-07-31 |
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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).