NAGENDRA P UPADHYAYULA
Physician/surgeon


Address: 15 Miron Dr, Poughkeepsie, NY 12603-5020

NAGENDRA P UPADHYAYULA (Credential# 935120) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2014. The license expiration date date is March 31, 2015. The license status is INACTIVE.

Business Overview

NAGENDRA P UPADHYAYULA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.049099. The credential type is physician/surgeon. The effective date is April 1, 2014. The expiration date is March 31, 2015. The business address is 15 Miron Dr, Poughkeepsie, NY 12603-5020. The current status is inactive.

Basic Information

Licensee Name NAGENDRA P UPADHYAYULA
Credential ID 935120
Credential Number 1.049099
Credential Type Physician/Surgeon
Business Address 15 Miron Dr
Poughkeepsie
NY 12603-5020
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2010-08-12
Effective Date 2014-04-01
Expiration Date 2015-03-31
Refresh Date 2015-07-04

Other licenses

ID Credential Code Credential Type Issue Term Status
952402 CSP.0048909 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2010-09-10 2013-03-01 - 2015-02-28 INACTIVE

Office Location

Street Address 15 MIRON DR
City POUGHKEEPSIE
State NY
Zip Code 12603-5020

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David B Katz 4 Commerce Street Ext, Poughkeepsie, NY 12603 Swimming Pool Builder - In Ground 2020-05-01 ~ 2021-04-30
Ryan Eric Wallace 2 Bird Lane, Poughkeepsie, NY 12603 Registered Nurse 2020-04-22 ~ 2021-01-31
Christopher A Perito 233 South Grand Avenue, Poughkeepsie, NY 12603 Radiographer 2020-05-01 ~ 2021-04-30
Jennifer M Sarasky-morales 3 Ireland Dr, Poughkeepsie, NY 12603 Registered Nurse 2020-06-01 ~ 2021-05-31
Laura J Paterson 11 Sedgewick Rd, Poughkeepsie, NY 12603 Registered Nurse 2020-05-01 ~ 2021-04-30
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Competitor

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City POUGHKEEPSIE
Zip Code 12603
License Type Physician/Surgeon
License Type + County Physician/Surgeon + POUGHKEEPSIE

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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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