INDIRA D GORTI MD (Credential# 564667) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2016. The license expiration date date is April 30, 2017. The license status is INACTIVE.
INDIRA D GORTI MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.047085. The credential type is physician/surgeon. The effective date is May 1, 2016. The expiration date is April 30, 2017. The business address is 28 Valley Pond Rd, Katonah, NY 10536-3144. The current status is inactive.
| Licensee Name | INDIRA D GORTI MD |
| Credential ID | 564667 |
| Credential Number | 1.047085 |
| Credential Type | Physician/Surgeon |
| Business Address |
28 Valley Pond Rd Katonah NY 10536-3144 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2008-10-15 |
| Effective Date | 2016-05-01 |
| Expiration Date | 2017-04-30 |
| Refresh Date | 2017-08-03 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 923894 | CSP.0047485 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2010-04-16 | 2015-03-01 - 2017-02-28 | INACTIVE |
| Street Address | 28 VALLEY POND RD |
| City | KATONAH |
| State | NY |
| Zip Code | 10536-3144 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Raghuram Gorti Md | 28 Valley Pond Rd, Katonah, NY 10536 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| George Uy Md | Four Winds Hospital, Katonah, NY 10536 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Tatiane V Boyd | 69 Maple Avenue, Katonah, NY 10536 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Kathleen A Scott- Vicari | 12 Primrose Drive, Katonah, NY 10536 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Patrick M Croke | 20 Woodsbridge Road, Katonah, NY 10536 | Architect | 2020-08-01 ~ 2021-07-31 |
| Nelson J Salazar | 66 Edgewood Rd, Katonah, NY 10536 | Real Estate Salesperson | 2019-10-27 ~ 2020-05-31 |
| Zenobia Kellock | 6 Lois Place, Katonah, NY 10536 | Real Estate Salesperson | 2017-06-01 ~ 2018-05-31 |
| Joseph R Kiefer | 16 South Road, Katonah, NY 10536 | Physical Therapist | 2020-05-01 ~ 2021-04-30 |
| Christina M Izzo | 6 Kniffen Rd, Katonah, NY 10536 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Laurence B Sandler | 7 Comanche Court, Katonah, NY 10536 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Christopher J Repp | 65 Harris Rd, Katonah, NY 10536 | Emergency Medical Technician | 2020-10-01 ~ 2022-09-30 |
| Find all Licenses in zip 10536 | |||
| City | KATONAH |
| Zip Code | 10536 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + KATONAH |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Indira Panthagani | 10 Southgate, Avon, CT 06001-3195 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Indira Donepudi | 530 East 234th Street, Apt 7k, Bronx, NY 10470 | Physician/surgeon | 2008-07-29 ~ 2009-06-30 |
| Indira R Asser | 2312 Eastwood Village Dr., Stockbridge, GA 30281 | Physician/surgeon | 2007-01-08 ~ 2007-07-31 |
| Jj Furniture-pt Mawar Indira | Ji. Raya Solo Baru, Central Java | Manufacturer of Bedding & Upholstered Furniture | ~ |
| Jj Furniture-pt Mawar Indira | J1 Raya Solo Baru Ruko Pusat Bisnis Solo Bar, Centeral Java | Manufacturer of Bedding & Upholstered Furniture | 2015-05-01 ~ 2016-04-30 |
| Raghuram Gorti Md | 28 Valley Pond Rd, Katonah, NY 10536 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
| Indira Santoro | 151 Highridge Rd, Avon, CT 06001-3257 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Indira Reddy | 37 Canterbury Rd, Bridgeport, CT 06606-2653 | Professional Counselor | 2019-10-01 ~ 2020-09-30 |
| Indira Y Dawson | 243 Park Lane, Trumbull, CT 06611 | Hairdresser/cosmetician | ~ |
| Indira S Jackson | 839 William St, Bridgeport, CT 06608-1016 | Registered Nurse | 2020-05-01 ~ 2021-04-30 |
Please comment or provide details below to improve the information on INDIRA D GORTI MD.
| 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).