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.
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.
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 |
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 |
Street Address | 15 MIRON DR |
City | POUGHKEEPSIE |
State | NY |
Zip Code | 12603-5020 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Alison Rose Marques | 24 Hornbeck Road, Poughkeepsie, NY 12603 | Registered Nurse | ~ |
Kerry Ann G Francis | 7 Edgar Street, Poughkeepsie, NY 12603 | Hairdresser/cosmetician | 2020-04-01 ~ 2022-03-31 |
Carole A Daponte · Woodbrey | 21 Twin Hills Road, Poughkeepsie, NY 12603 | Licensed Clinical Social Worker | 2020-05-01 ~ 2021-04-30 |
Henry Rodriguez | 1112 Cherry Hill Drive, Poughkeepsie, NY 12603 | Dietitian/nutritionist | 2020-05-01 ~ 2021-04-30 |
Angelika Jones | P.o. Box 3172, Poughkeepsie, NY 12603 | Hairdresser/cosmetician | 2020-04-01 ~ 2022-03-31 |
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 |
Find all Licenses in zip 12603 |
City | POUGHKEEPSIE |
Zip Code | 12603 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + POUGHKEEPSIE |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Hassan Nagendra | 15 Chesterbrook Ln, Pittsford, NY 14534-4723 | Physician/surgeon | 2013-04-01 ~ 2014-03-31 |
Nagendra Nagar | 11 Sarahs Pl, Wallingford, CT 06492-4757 | Physical Therapist | 2019-10-01 ~ 2020-09-30 |
Shweta Nagendra Joshi | 40 Cross St Fl 4, Norwalk, CT 06851-4647 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
Nagendra M Vyas | 17 Catherine Drive, Meriden, CT 06450 | Notary Public Appointment | 2002-04-01 ~ 2007-03-31 |
Russell H Harris Md | Envision Physician Services, Horsham, PA 19044 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
Gilbert L Drozdow | Envision Physician Services, Plantation, FL 33322 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
Penny Lamhut Md | Genesis Physician Services, Windsor, CT 06098 | Physician/surgeon | 1999-07-15 ~ 2000-07-31 |
Arnold R Kriegstein | College Physician, New York, NY 10032 | Physician/surgeon | 1993-04-23 ~ 1994-03-31 |
John T Thompson | Physician Pavilion W, Towson, MD 21204 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Brent Robert Jacobson | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
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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).