PRAVEEN K REDDY (Credential# 1135585) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2020. The license expiration date date is April 30, 2021. The license status is ACTIVE.
PRAVEEN K REDDY is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.051540. The credential type is physician/surgeon. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 44 Addison Dr, Short Hills, NJ 07078-1808. The current status is active.
| Licensee Name | PRAVEEN K REDDY |
| Credential ID | 1135585 |
| Credential Number | 1.051540 |
| Credential Type | Physician/Surgeon |
| Business Address |
44 Addison Dr Short Hills NJ 07078-1808 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2012-12-24 |
| Effective Date | 2020-05-01 |
| Expiration Date | 2021-04-30 |
| Refresh Date | 2020-04-29 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 944785 | CSP.0048177 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2010-08-06 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 44 ADDISON DR |
| City | SHORT HILLS |
| State | NJ |
| Zip Code | 07078-1808 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Scott R Saffran | 34 Kilmer Drive, Short Hills, NJ 07078 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Michael J Kling | 48 Jefferson Avenue, Short Hills, NJ 07078 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Barry G. Moss | 7 Eliot Place, Short Hills, NJ 07078 | Certified Public Accountant License | 2020-01-01 ~ 2020-12-31 |
| Naomi Musaji | 55 Addison Drive, Short Hills, NJ 07078 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Jenny O Chung | 45 Keats Road, Short Hills, NJ 07078 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Edward Michael Goodman | 33 Westview Road, Short Hills, NJ 07078 | Certified Public Accountant License | 2020-01-01 ~ 2020-12-31 |
| Ct Bloomfield Developers LLC | 820 Morris Tpke, Short Hills, NJ 07078 | New Home Construction Contractor | 2019-10-01 ~ 2021-09-30 |
| Jeffrey Arthur Brown | 212 Old Short Hills Road, Short Hills, NJ 07078 | Physician/surgeon | 1976-01-02 ~ 1988-06-30 |
| Claudette A Mansour | 18e Hartshorn Dr, Short Hills, NJ 07078 | Registered Nurse | 2016-07-01 ~ 2017-06-30 |
| Marcos P Loizias | 15 Tioga Pass, Short Hills, NJ 07078 | Professional Engineer | 2016-02-01 ~ 2017-01-31 |
| Find all Licenses in zip 07078 | |||
| City | SHORT HILLS |
| Zip Code | 07078 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + SHORT HILLS |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Keshavpal G Reddy | P.o. Box 10266, Greensboro, NC 27404 | Physician/surgeon | 1997-11-13 ~ 1998-11-30 |
| Prakash Reddy | 900 Morris Ave Apt 1, Larned, KS 67550-2425 | Physician/surgeon | 1989-02-09 ~ 1990-11-30 |
| Uma M Reddy | 70 Beachside Ave, East Haven, CT 06512 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Nikalesh Reddy | 20 Martin Rd, Weston, CT 06883-2024 | Physician/surgeon | 2011-11-09 ~ 2012-04-30 |
| Srinivas H. Reddy | 111 Wheatley Rd, Old Westbury, NY 11568-1210 | Physician/surgeon | 2013-08-01 ~ 2014-07-31 |
| Aruna Reddy Md | 32a Orchard St, Summit, NJ 07901 | Physician/surgeon | 2001-01-26 ~ 2002-02-28 |
| Vivek Yerrapu Reddy | 1 Gustave L Levy Pl, New York, NY 10029-6504 | Physician/surgeon | ~ |
| Nishanth Reddy Pundru | 49 Bronson Rd, Avon, CT 06001 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Sanjay G Reddy | 5 Honeytree Trail, Ne, Rome, GA 30165 | Physician/surgeon | 2007-10-09 ~ 2008-02-29 |
| Veera Reddy Md | 19 Field Side Dr, Groton, CT 06340 | Physician/surgeon | 2001-06-25 ~ 2002-03-31 |
Please comment or provide details below to improve the information on PRAVEEN K REDDY.
| 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).