SHIVANI N DESAI PA
Physician Assistant


Address: 297 Northridge Court, Southington, CT 06489

SHIVANI N DESAI PA (Credential# 743228) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2020. The license expiration date date is July 31, 2021. The license status is ACTIVE.

Business Overview

SHIVANI N DESAI PA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.001479. The credential type is physician assistant. The effective date is August 1, 2020. The expiration date is July 31, 2021. The business address is 297 Northridge Court, Southington, CT 06489. The current status is active.

Basic Information

Licensee Name SHIVANI N DESAI PA
Credential ID 743228
Credential Number 23.001479
Credential Type Physician Assistant
Business Address 297 Northridge Court
Southington
CT 06489
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2004-06-09
Effective Date 2020-08-01
Expiration Date 2021-07-31
Refresh Date 2020-06-19

Other licenses

ID Credential Code Credential Type Issue Term Status
438374 CSP.0039169 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2006-05-18 2019-03-01 - 2021-02-28 ACTIVE

Office Location

Street Address 297 Northridge Court
City SOUTHINGTON
State CT
Zip Code 06489

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Sarah M Moon 321 Pilgrim Lane, Southington, CT 06489 Esthetician ~
Joanna Milewski 23 Stacy Cate Drive, Southington, CT 06489 Registered Nurse 2020-07-01 ~ 2021-06-30
Richard M Testa 81 Winter Park Road, Southington, CT 06489 Massage Therapist 2020-08-01 ~ 2022-07-31
Valley Roofing LLC 88 Ladyslipper Lane, Southington, CT 06489 Home Improvement Contractor ~
Dunkin Donuts · New England Donuts LLC 856 Queen St, Southington, CT 06489 Bakery 2020-07-01 ~ 2021-06-30
Elizabeth E Pizzuto 45 Water Street, Southington, CT 06489 Real Estate Salesperson 2020-06-18 ~ 2021-05-31
Nicholas C Ingel 515 West Street, Southington, CT 06489 Heating, Piping & Cooling Limited Journeyperson 2020-06-23 ~ 2021-08-31
Tyrone J Correa 84 Minthal Drive, Southington, CT 06489 Real Estate Salesperson 2020-06-19 ~ 2021-05-31
Marilyn F Coppola 114 Spring Hill Rd, Southington, CT 06489 Registered Nurse 2020-08-01 ~ 2021-07-31
Christine M Liebler 30 Sultana Terrace, Southington, CT 06489 Registered Nurse 2020-07-01 ~ 2021-06-30
Find all Licenses in zip 06489

Competitor

Search similar business entities

City SOUTHINGTON
Zip Code 06489
License Type Physician Assistant
License Type + County Physician Assistant + SOUTHINGTON

Similar businesses

Licensee Name Office Address Credential Effective / Expiration
Shivani Desai 120 Huntington Tpke Unit 602, Bridgeport, CT 06610-1472 Pharmacy Technician 2009-03-27 ~ 2010-03-31
Ramizahmed K Desai 23 Esquire Dr Unit C, Manchester, CT 06042-2454 Physician Assistant 2020-04-01 ~ 2021-03-31
Shilpa R Desai 1336 Long Ridge Rd, Stamford, CT 06903-4504 Physician Assistant 2020-07-01 ~ 2021-06-30
Shivani B. Patel Do 8 Riverton Drive, Nyack, NY 10960 Physician/surgeon 2020-06-01 ~ 2021-05-31
Shivani U. Mehta 3901 Conshohocken Ave Apt 9112, Philadelphia, PA 19131-5441 Physician/surgeon 2011-05-25 ~ 2012-03-31
Shivani Paliwal 104-60 Queene Boulevard, Apt 10 F, Forest Hills, NY 11375 Physician/surgeon 2008-04-23 ~ 2008-08-31
Shivani Varakantam Reddy 14967 Cool Springs Blvd, Union, KY 41091-8238 Physician/surgeon 2018-08-01 ~ 2019-07-31
Rakhi P Desai 58 Queen Terrace, Southington, CT 06489 Physical Therapist Assistant 2009-05-28 ~ 2010-05-31
Shashi O Desai Rt 9-d, Coldspring, NY 10516 Physician/surgeon 1996-02-26 ~ 1997-03-31
Robert K Desai 431 River St, Waltham, MA 02453-5479 Physician/surgeon 2013-06-01 ~ 2017-02-27

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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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