SRUJANI GADDAM MD (Credential# 895400) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2011. The license expiration date date is February 28, 2013. The license status is INACTIVE.
SRUJANI GADDAM MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0046616. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2011. The expiration date is February 28, 2013. The business address is 415 Beverley Rd, Brooklyn, NY 11218. The current status is inactive.
| Licensee Name | SRUJANI GADDAM MD |
| Credential ID | 895400 |
| Credential Number | CSP.0046616 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
415 Beverley Rd Brooklyn NY 11218 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE |
| Issue Date | 2009-09-17 |
| Effective Date | 2011-03-01 |
| Expiration Date | 2013-02-28 |
| Refresh Date | 2014-01-29 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 886619 | 1.048052 | Physician/Surgeon | 2009-08-13 | 2011-09-01 - 2012-08-31 | INACTIVE |
| Street Address | 415 BEVERLEY RD |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11218 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mary Kathleen Samarista | C/o Grandison Management, Brooklyn, NY 11218 | Physical Therapist | ~ |
| Sheila R Tan Blancada | Grandison Management, Brooklyn, NY 11218 | Physical Therapist | 2020-05-01 ~ 2021-04-30 |
| Jafreen Ahmed | 801 Avenue C, Jamaica, NY 11218 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Danica May Vergeire Dalmacion | 1413 38th St., Brooklyn, New York, NY 11218 | Physical Therapist | 2020-05-01 ~ 2021-04-30 |
| Takeshape, Inc. | 40 Ocean Parkkway #3b, Brooklyn, NY 11218 | Securities - Exemptions | 2020-04-15 ~ |
| Sook King Mak | 181 Dahill Road, Brooklyn, NY 11218 | Casino Class I Employee | 2019-12-03 ~ 2020-10-31 |
| Wah Mui Yeung | 109 Albemarle Road, Brooklyn, NY 11218 | Casino Class I Employee | 2019-12-03 ~ 2020-10-31 |
| Ching Hsia Lim | 1171 39 Th St Apt 1, Brooklyn, NY 11218 | Casino Class I Employee | 2019-12-03 ~ 2020-10-31 |
| Samuel A Sarpong | 377 Ocean Parkway # C-1, Brooklyn, NY 11218 | Master's Level Social Worker | 2020-04-01 ~ 2021-03-31 |
| Jan Emmanuel Rodriguez Ceniza | 1413 38th Street, Brooklyn, NY 11218 | Physical Therapist | 2020-01-01 ~ 2020-12-31 |
| Find all Licenses in zip 11218 | |||
| City | BROOKLYN |
| Zip Code | 11218 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + BROOKLYN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Sushma Gaddam | 34 Maple St, Norwalk, CT 06850-3815 | Controlled Substance Registration for Practitioner | 2015-09-16 ~ 2017-02-28 |
| Sainath Gaddam | 10 Avalon Dr Unit 3323, Milford, CT 06460-8577 | Controlled Substance Registration for Practitioner | 2017-03-01 ~ 2019-02-28 |
| Steven Kassels Md · Community Substance Abuse Center | Comm. Physicians PC/125 North Elm Street, Westfield, MA 01085 | Controlled Substance Registration for Practitioner | 2018-06-15 ~ 2019-02-28 |
| Shu-i Lin | CT | Controlled Substance Registration for Practitioner | 2017-06-12 ~ 2019-02-28 |
| Erin K Fee | CT | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Arundati Rao | CT | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Min Jin Kim | 639 4th Ave Apt 5c, Brooklyn, NY 11232-1048 | Controlled Substance Registration for Practitioner | 2012-05-10 ~ 2013-02-28 |
| Qi Che Md | Bridgeport, CT 06610 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
| Huu Duc D Luu | 630 Mix Ave Apt 6p, Hamden, CT 06514-2320 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Hae J Kim Pa | New Haven, CT 06511 | Controlled Substance Registration for Practitioner | 2008-03-31 ~ 2009-02-28 |
Please comment or provide details below to improve the information on SRUJANI GADDAM 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).