SHIVANI U. MEHTA (Credential# 943277) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 25, 2011. The license expiration date date is March 31, 2012. The license status is INACTIVE.
SHIVANI U. MEHTA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.049889. The credential type is physician/surgeon. The effective date is May 25, 2011. The expiration date is March 31, 2012. The business address is 3901 Conshohocken Ave Apt 9112, Philadelphia, PA 19131-5441. The current status is inactive.
| Licensee Name | SHIVANI U. MEHTA |
| Credential ID | 943277 |
| Credential Number | 1.049889 |
| Credential Type | Physician/Surgeon |
| Business Address |
3901 Conshohocken Ave Apt 9112 Philadelphia PA 19131-5441 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2011-05-25 |
| Effective Date | 2011-05-25 |
| Expiration Date | 2012-03-31 |
| Refresh Date | 2012-07-03 |
| Street Address | 3901 CONSHOHOCKEN AVE APT 9112 |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19131-5441 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Yossel Sarahi Velasquez Ferrufino | 3900 City Avenue, Philadelphia, PA 19131 | Registered Nurse | 2020-02-01 ~ 2021-01-31 |
| Joseph R Martin Md | 3900 City Ave, Philadelphia, PA 19131 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Philadelphia College of Osteopathic Medicine Foundation | 4170 City Ave, Philadelphia, PA 19131 | Public Charity-exempt From Financial Requirements | 2016-08-01 ~ |
| Joyce A Harrell | 1533 N. 55th St., Philadelphia, PA 19131 | Radiographer | 2008-12-10 ~ 2010-01-31 |
| West Park Imports Inc | 3960 Lankenau Avenue, Philadelphia, PA 19131 | Out of State Shipper Liquor | 2008-03-05 ~ 2009-03-04 |
| Ellen M Martin Gemme · Gemme | 4040-1907, Philadelphia, PA 19131 | Registered Nurse | 1995-06-05 ~ 1996-05-31 |
| Frederick A Nunes | 6100 City Ave, Philadelphia, PA 19131 | Physician/surgeon | 1996-03-18 ~ 1997-05-31 |
| Mario J Poon | 3901 Conshohocken, Philadelphia, PA 19131 | Physician/surgeon | 1993-04-23 ~ 1994-06-30 |
| Barbara P Jordan | 2122 North 50th St, Philadelphia, PA 19131 | Registered Nurse | 2005-07-05 ~ 2006-08-31 |
| Charles E Clark | 5422 Diamond Street, Philadelphia, PA 19131 | Advanced Practice Registered Nurse | 1997-11-24 ~ 1998-12-31 |
| Find all Licenses in zip 19131 | |||
| City | PHILADELPHIA |
| Zip Code | 19131 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + PHILADELPHIA |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Shivani Mehta | 418 State St, Medina, NY 14103-9701 | Physical Therapist | 2012-03-01 ~ 2013-02-28 |
| Shivani Mehta | 129 York Street, Apt 6m, New Haven, CT 06511-5357 | Registered Nurse | 2012-02-01 ~ 2013-01-31 |
| Shivani B. Patel Do | 8 Riverton Drive, Nyack, NY 10960 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| 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 |
| Bella Mehta | 535 E 70th St, New York, NY 10021-4823 | Physician/surgeon | ~ |
| Vinod C Mehta | 279 Oakville Ave, Waterbury, CT 06708-1637 | Physician/surgeon | 1984-04-02 ~ 2018-08-22 |
| Amee Mehta | 71 Haynes St, Manchester, CT 06040 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Meena Mehta | 185 Tamarack Ln, Boxborough, MA 01719-2126 | Physician/surgeon | 2016-05-01 ~ 2017-04-30 |
| Shailja Mehta | 800 Howard Ave Fl 3, New Haven, CT 06519-1369 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
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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).