DEEPAK KADIYALA
Physician/surgeon


Address: 240 South Marcliffe Dr Unit 7, Valparaiso, IN 46385

DEEPAK KADIYALA (Credential# 565260) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is October 1, 2012. The license expiration date date is September 30, 2013. The license status is INACTIVE.

Business Overview

DEEPAK KADIYALA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.047678. The credential type is physician/surgeon. The effective date is October 1, 2012. The expiration date is September 30, 2013. The business address is 240 South Marcliffe Dr Unit 7, Valparaiso, IN 46385. The current status is inactive.

Basic Information

Licensee Name DEEPAK KADIYALA
Credential ID 565260
Credential Number 1.047678
Credential Type Physician/Surgeon
Business Address 240 South Marcliffe Dr Unit 7
Valparaiso
IN 46385
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2009-05-11
Effective Date 2012-10-01
Expiration Date 2013-09-30
Refresh Date 2014-01-02

Other licenses

ID Credential Code Credential Type Issue Term Status
952141 CSP.0048838 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2010-11-12 2011-03-01 - 2013-02-28 INACTIVE
437821 CSP.0039136 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2006-05-15 2009-03-01 - 2011-02-28 INACTIVE

Office Location

Street Address 240 SOUTH MARCLIFFE DR UNIT 7
City VALPARAISO
State IN
Zip Code 46385

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
R Robert Schenck 1652 Sherwood Dr, Valparaiso, IN 46385 Professional Engineer 2014-08-19 ~ 2015-01-31
Keystone Lines 336 West Us Hwy 30 Suite 201, Valparaiso, IN 46385 Transporter Liquor 2019-11-22 ~ 2020-11-21
Kathleen A Hartman-mccarthy 311 S. 300 W., Valparaiso, IN 46385 Licensed Clinical Social Worker 2013-02-01 ~ 2015-01-31
Melissa N Westfall 1455 Ransom Road, Valparaiso, IN 46385 Registered Nurse 2008-08-07 ~ 2009-04-30
Deborah A Miller 2402 William Drive, Valparaiso, IN 46385 Registered Nurse 2001-02-26 ~ 2002-04-30
Ronald L Ralph 35 Stonegate Drive, Valparaiso, IN 46385 Certified Public Accountant Certificate ~
Imran Hafeez 176 Windridge Rd, Valparaiso, IN 46385-6053 Controlled Substance Registration for Practitioner 2017-04-05 ~ 2019-02-28
Susan L Arwood 482 Bella Ct, Valparaiso, IN 46385-7060 Registered Nurse 2020-05-01 ~ 2021-04-30
Jason C Gilliana · Gilliana Pools LLC 3703 Goodrich Rd, Valparaiso, IN 46385-7423 Swimming Pool Builder - In Ground 2020-05-01 ~ 2021-04-30
Erin P Micciche 427 Kent Ct, Valparaiso, IN 46385-8005 Registered Nurse 2015-08-31 ~ 2016-06-30
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Competitor

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City VALPARAISO
Zip Code 46385
License Type Physician/Surgeon
License Type + County Physician/Surgeon + VALPARAISO

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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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