MADHAVI BHOOMAGOUD
Physician/surgeon


Address: 455 Lewis Ave Ste 105, Meriden, CT 06451-2121

MADHAVI BHOOMAGOUD (Credential# 564844) 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

MADHAVI BHOOMAGOUD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.047262. The credential type is physician/surgeon. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 455 Lewis Ave Ste 105, Meriden, CT 06451-2121. The current status is active.

Basic Information

Licensee Name MADHAVI BHOOMAGOUD
Credential ID 564844
Credential Number 1.047262
Credential Type Physician/Surgeon
Business Address 455 Lewis Ave Ste 105
Meriden
CT 06451-2121
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2008-12-24
Effective Date 2020-06-01
Expiration Date 2021-05-31
Refresh Date 2020-05-21

Other licenses

ID Credential Code Credential Type Issue Term Status
1408397 CSP.0064865 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2017-03-01 2019-03-01 - 2021-02-28 ACTIVE
1222375 CSP.0057172 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2014-05-15 2017-03-01 - 2019-02-28 LAPSED
535592 CSP.0045664 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2009-07-20 2009-07-20 - 2011-02-28 INACTIVE

Office Location

Street Address 455 LEWIS AVE STE 105
City MERIDEN
State CT
Zip Code 06451-2121

Licenses in the same location

Licensee Name Office Address Credential Effective / Expiration
Housein M Wazaz 455 Lewis Ave Ste 105, Meriden, CT 06451-2121 Physician/surgeon 2020-08-01 ~ 2021-07-31
Thomas S Jung 455 Lewis Ave Ste 105, Meriden, CT 06451-2121 Physician/surgeon 2020-08-01 ~ 2021-07-31

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Rafal Barczak 455 Lewis Ave Ste 208, Meriden, CT 06451-2121 Physician/surgeon 2020-06-01 ~ 2021-05-31
David M Sack 455 Lewis Ave Ste 106, Meriden, CT 06451-2121 Physician/surgeon 2020-05-01 ~ 2021-04-30
Jean Wong Md 455 Lewis Ave Ste 210, Meriden, CT 06451-2121 Physician/surgeon 2020-05-01 ~ 2021-04-30
Roopkiranjot K Kahlon 455 Lewis Ave Ste 214, Meriden, CT 06451-2121 Physician/surgeon 2020-04-01 ~ 2021-03-31
Douglas Miller Md · Internal Medcine Associates, P.C. 455 Lewis Ave Ste 200, Meriden, CT 06451-2121 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
Laurence Nair Md 455 Lewis Ave Ste 206, Meriden, CT 06451-2121 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
Elizabeth C Riordan Md 435 Lewis Ave, Suite 104, Meriden, CT 06451-2121 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
Mohammad A Sharif 455 Lewis Avenue, Suite 214, Meriden, CT 06451-2121 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
Irfan S Chughtai 455 Lewis Ave Ste 214, Meriden, CT 06451-2121 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
Jon J Ernstoff Connecticut Gi PC, Meriden, CT 06451-2121 Controlled Substance Registration for Practitioner 2019-03-01 ~ 2021-02-28
Find all Licenses in zip 06451-2121

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Robert L. Torres 309 Brownstone Ridge, Meriden, CT 06451 Crane Operator 2018-06-29 ~ 2020-06-28
Lourdes Castro 25 Lanoutte Steet, Meriden, CT 06451 Combination Nail Technician, Esthetician Or Eyelash Technici 2020-06-11 ~ 2022-02-28
Brittney Hilliard 44 Eddy Avenue, Meriden, CT 06451 Master's Level Social Worker ~
Super Laundry Mat 311 West Main St, Meriden, CT 06451 Operator of Weighing & Measuring Devices 2020-08-01 ~ 2021-07-31
Sarah C Matteson 18 Steuben St, Meriden, CT 06451 Registered Nurse 2020-08-01 ~ 2021-07-31
Valerie Mari Dejesus 36c Kiki Drive, Meriden, CT 06451 Hairdresser/cosmetician ~
Tiffaney A Williams 158 Byron Road, Meriden, CT 06451 Registered Nurse 2020-07-01 ~ 2021-06-30
Meriden Oil Co 30 Knob Hill Rd, South Meriden, CT 06451 Operator of Weighing & Measuring Devices 2020-08-01 ~ 2021-07-31
Amal Abouchacra · Sam's Market 167 Lewis Avenue, Meriden, CT 06451 Grocery Beer 2020-07-31 ~ 2021-07-30
Carmen J Vazquez 173 Fourth St, Meriden, CT 06451 Hairdresser/cosmetician 2020-07-01 ~ 2022-06-30
Find all Licenses in zip 06451

Competitor

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City MERIDEN
Zip Code 06451
License Type Physician/Surgeon
License Type + County Physician/Surgeon + MERIDEN

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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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