MALAVIKA BANDARI (Credential# 1289548) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license status is PENDING.
MALAVIKA BANDARI is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1. The credential type is physician/surgeon. The business address is 705 Forrest Pointe Drive, East Greenbush, NY 12061. The current status is pending.
| Licensee Name | MALAVIKA BANDARI |
| Credential ID | 1289548 |
| Credential Number | 1 |
| Credential Type | Physician/Surgeon |
| Business Address |
705 Forrest Pointe Drive East Greenbush NY 12061 |
| Business Type | INDIVIDUAL |
| Status | PENDING - PENDING |
| Refresh Date | 2015-06-05 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Malavika Bandari | 9 Cranbrook Blvd #102, Enfield, CT 06082 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
| Street Address | 705 Forrest Pointe Drive |
| City | East Greenbush |
| State | NY |
| Zip Code | 12061 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| April Michelle Weils | 12 Emily Drive, East Greenbush, NY 12061 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
| Michael J Kenneally | 1 Thrush Terrace, East Greenbush, NY 12061 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Ryan T Preston | 1 Avian Drive, East Greenbush, NY 12061 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Barbara Elizabeth Wentworth | 10 Van Buren Avenue, East Greenbush, NY 12061 | Registered Nurse - Temporary | 2019-03-26 ~ 2019-07-24 |
| Roberto R Martinez Md | 624 Miller Road, East Greenbush, NY 12061 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Volney W Blodgett · Boston&maine Corp, Design Dept | Rr#1 - Box 224, E Greenbush, NY 12061 | Professional Engineer & Land Surveyor | 1993-01-22 ~ 1994-01-31 |
| Shannon E Dugan | 65 Bloomingdale Avenue, East Greenbush, NY 12061 | Pharmacy Intern | 2005-09-14 ~ 2009-09-30 |
| Karl A Brandt · Brandt Poost Architects | 2 Middlesex Rd, E Greenbush, NY 12061 | Architect | 2004-08-01 ~ 2005-07-31 |
| Tiffany C Ashe | 737 Columbia Tpke, East Greenbush, NY 12061 | Registered Nurse | 2008-06-18 ~ 2009-06-30 |
| Jamie C Baksa | 2004 Rockport Ct, East Greenbush, NY 12061 | Registered Nurse | 2001-10-03 ~ 2002-10-31 |
| Find all Licenses in zip 12061 | |||
| City | East Greenbush |
| Zip Code | 12061 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + East Greenbush |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Malavika A Vidwans | One Stratford Road, Farmington, CT 06032 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
| Prakash Bandari Md | 75-69 113th St, Forest Hills, NY 11375 | Physician/surgeon | 1997-12-16 ~ 1999-02-28 |
| Usha M Bandari Md | 75-69 113th Street, Forest Hills, NY 11375 | Physician/surgeon | 1997-09-11 ~ 1998-11-30 |
| Prashanth Bandari | 23 Salem Ct Apt A, Glastonbury, CT 06033-1155 | Pharmacy Technician | 2011-03-18 ~ 2012-03-31 |
| Gilbert L Drozdow | Envision Physician Services, Plantation, FL 33322 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
| Russell H Harris Md | Envision Physician Services, Horsham, PA 19044 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
| Penny Lamhut Md | Genesis Physician Services, Windsor, CT 06098 | Physician/surgeon | 1999-07-15 ~ 2000-07-31 |
| John T Thompson | Physician Pavilion W, Towson, MD 21204 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Arnold R Kriegstein | College Physician, New York, NY 10032 | Physician/surgeon | 1993-04-23 ~ 1994-03-31 |
| Catherine Nguyen Keegan | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
Please comment or provide details below to improve the information on MALAVIKA BANDARI.
| 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).