MAMTA PATEL MD (Credential# 565247) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is September 1, 2020. The license expiration date date is August 31, 2021. The license status is ACTIVE.
MAMTA PATEL MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.047665. The credential type is physician/surgeon. The effective date is September 1, 2020. The expiration date is August 31, 2021. The business address is 25 E Mosholu Pkwy N Apt 3j, Bronx, NY 10467-2612. The current status is active.
| Licensee Name | MAMTA PATEL MD |
| Credential ID | 565247 |
| Credential Number | 1.047665 |
| Credential Type | Physician/Surgeon |
| Business Address |
25 E Mosholu Pkwy N Apt 3j Bronx NY 10467-2612 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2009-05-04 |
| Effective Date | 2020-09-01 |
| Expiration Date | 2021-08-31 |
| Refresh Date | 2020-06-02 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 533967 | CSP.0045578 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2009-06-10 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 25 E MOSHOLU PKWY N APT 3J |
| City | BRONX |
| State | NY |
| Zip Code | 10467-2612 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Vinroy Bell | 712 E 211 Street, Bronx, NY 10467 | Medication Administration Certification | 2020-06-22 ~ 2022-06-21 |
| Christine Andrea Theresa Grange | 765, Bronx,ny, NY 10467 | Registered Nurse | ~ |
| First Tee New York Inc. · First Tee of Metropolitan New York | 3545 Jerome Avenue, Bronx, NY 10467 | Public Charity | 2018-12-01 ~ 2019-11-30 |
| Ruben Felipe | 838 E 215th St, Bronx, NY 10467 | Tax Preparer/facilitator Permit | 2020-03-31 ~ 2022-03-31 |
| Nataly A De La Cruz | 3004 Cruger Ave A, Bronx, NY 10467 | Real Estate Salesperson | 2018-07-18 ~ 2019-05-31 |
| Sabrina Dewar | 829 East 219 Street, Bronx, NY 10467 | Registered Nurse | 2020-03-18 ~ 2020-07-31 |
| Krishna Mae Frias Samson | 3409 Dekalb Ave., Bronx, NY 10467 | Registered Nurse | 2020-02-20 ~ 2020-11-30 |
| Augusta Osuoha | 2551 Cruger Ave, Bronx, NY 10467 | Pharmacist | 2020-02-19 ~ 2022-01-31 |
| Seth Wapnick | 2245 White Plains Road, Bronx, NY 10467 | Tax Preparer/facilitator Permit | 2020-02-14 ~ 2022-02-28 |
| Daisy Gonzalez | 2245 White Plains Rd., Bronx, NY 10467 | Tax Preparer/facilitator Permit | 2020-02-12 ~ 2022-02-28 |
| Find all Licenses in zip 10467 | |||
| City | BRONX |
| Zip Code | 10467 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + BRONX |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mamta Ashwin Patel | 417 Olde Stage Rd, Glastonbury, CT 06033-3216 | Physical Therapist | 2019-11-01 ~ 2020-10-31 |
| Mamta V Patel | 124 Broad Street, Stamford, CT 06901 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Mamta R. Patel | 200 W Washington Square, Philadelphia, PA 19106 | Certified Public Accountant Certificate | 2020-01-01 ~ 2020-12-31 |
| Mamta M Patel · Franco's Wine & Liquors | 44 Boston Post Road, Madison, CT 06443 | Package Store Liquor | 2018-03-28 ~ 2019-04-01 |
| Payal R Patel | 43 Carriage Rd, Roslyn, NY 11576-3122 | Physician/surgeon | ~ |
| Krunal Patel | 2800 E Ajo Way, Tucson, AZ 85704 | Physician/surgeon | ~ |
| Nirmal S Patel | 24 Cognewaugh Rd, Cos Cob, CT 06807-1722 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Anupa K Patel | 89-11 153rd St., Jamaica, NY 11432 | Physician/surgeon | ~ |
| Niraj Patel | 577 2nd St Ste 103, San Francisco, CA 94107-1459 | Physician/surgeon | 2020-05-22 ~ 2021-01-31 |
| Ravi Patel | 150 Maple Ave, South Plainfield, CT 07080 | Physician/surgeon | ~ |
Please comment or provide details below to improve the information on MAMTA PATEL 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).