SHIVANI B. PATEL DO (Credential# 925988) 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.
SHIVANI B. PATEL DO is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.048778-DO. The credential type is physician/surgeon. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 8 Riverton Drive, Nyack, NY 10960. The current status is active.
| Licensee Name | SHIVANI B. PATEL DO |
| Credential ID | 925988 |
| Credential Number | 1.048778-DO |
| Credential Type | Physician/Surgeon |
| Credential SubCategory | DO |
| Business Address |
8 Riverton Drive Nyack NY 10960 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2010-05-24 |
| Effective Date | 2020-06-01 |
| Expiration Date | 2021-05-31 |
| Refresh Date | 2020-06-08 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 936094 | CSP.0047795 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2010-06-17 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 925144 | 1 | Physician/Surgeon | - | PENDING |
| Street Address | 8 riverton drive |
| City | nyack |
| State | NY |
| Zip Code | 10960 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kier B Levesque | 49 Third Ave, Nyack, NY 10960 | Architect | 2020-08-01 ~ 2021-07-31 |
| Ann Mary Desloges | 39 Essex Green Lane, Peabody, MA 10960 | Registered Nurse | 2019-01-01 ~ 2019-12-31 |
| Siobhan Ann Masterson | 20 North Broadway, Nyack, NY 10960 | Licensed Clinical Social Worker | ~ |
| Eric Francis Hammermeister | 215 N Highland Ave, Nyack, NY 10960 | Emergency Medical Technician | ~ |
| Ricky M. Miano | 38c Gail Dr., Nyack, NY 10960 | Backflow Prevention Device Tester | 2017-12-31 ~ 2020-12-31 |
| Susan Ellen Morer | 4 Rockland Place, Nyack, NY 10960 | Licensed Clinical Social Worker | 2020-03-01 ~ 2021-02-28 |
| Luke A Daur | 107 S Broadway, Nyack, NY 10960 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Dominick R Pilla | 2 Lavetta, Nyack, NY 10960 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Carl Ian Graham | 118 First Ave, Nyack, NY 10960 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Isadora Guggenheim | 8 Rockland Place, Nyack, NY 10960 | Registered Nurse | 2020-01-01 ~ 2020-12-31 |
| Find all Licenses in zip 10960 | |||
| City | nyack |
| Zip Code | 10960 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + nyack |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| 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 |
| Shivani T Patel | Wallington, NJ 07057 | Physical Therapist | ~ |
| Shivani R Patel | 293 Dover Ln, Des Plaines, IL 60018-1142 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Shivani Patel | 754 E Main St, Meriden, CT 06450 | Pharmacy Intern | 2016-10-27 ~ 2020-09-30 |
| Shivani Patel | 14 Talcott Ave, Jewett City, CT 06351-1820 | Emergency Medical Technician | 2019-10-01 ~ 2022-09-30 |
| Shivani Patel | 1113 Chestnut Hill Rd, South Glastonbury, CT 06073-2610 | Pharmacy Technician | 2020-04-01 ~ 2021-03-31 |
| Nirmal S Patel | 24 Cognewaugh Rd, Cos Cob, CT 06807-1722 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Payal R Patel | 43 Carriage Rd, Roslyn, NY 11576-3122 | Physician/surgeon | ~ |
Please comment or provide details below to improve the information on SHIVANI B. PATEL DO.
| 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).