RAJ P SHAH (Credential# 1296684) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is January 1, 2019. The license expiration date date is December 31, 2019. The license status is INACTIVE.
RAJ P SHAH is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.054798. The credential type is physician/surgeon. The effective date is January 1, 2019. The expiration date is December 31, 2019. The business address is 7540 Sw 107th Ave Apt 5101, Miami, FL 33173-2996. The current status is inactive.
Licensee Name | RAJ P SHAH |
Credential ID | 1296684 |
Credential Number | 1.054798 |
Credential Type | Physician/Surgeon |
Business Address |
7540 Sw 107th Ave Apt 5101 Miami FL 33173-2996 |
Business Type | INDIVIDUAL |
Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
Issue Date | 2015-12-03 |
Effective Date | 2019-01-01 |
Expiration Date | 2019-12-31 |
Refresh Date | 2020-06-08 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1487858 | 1.057521-RES | Resident Physician | 2014-07-01 | 2014-07-01 - 2018-06-30 | INACTIVE |
1323291 | 1 | Physician/Surgeon | - | PENDING |
Street Address | 7540 SW 107TH AVE APT 5101 |
City | MIAMI |
State | FL |
Zip Code | 33173-2996 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Eliza C Valenti | 5915 Sw108 Place, Miami, FL 33173 | Registered Nurse | ~ |
Tamara Zec | 6770 Sw 104th Court, Miami, FL 33173 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
Emilio A Rivero | 7025 Sw 98th Ave, Miami, FL 33173 | Professional Engineer | 2010-02-01 ~ 2011-01-31 |
Humayoun Farooq · Al-farooq Corp | 9633 Sw 79th Terr, Miami, FL 33173 | Professional Engineer | 1800-12-27 ~ 1995-01-31 |
Yilmaz Taskin · Asfour Associates | 6666 Sw 115th Crt #405, Miami, FL 33173 | Professional Engineer | 1994-04-12 ~ 1995-01-31 |
Guy R. Wagner | 9231 Sw 60 Street, Miami, FL 33173 | Certified Public Accountant License | 2001-01-01 ~ 2001-12-31 |
Wendy B Kaplan | 8005 Sw 107 Ave, Miani, FL 33173 | Occupational Therapist | 1995-05-30 ~ 1997-07-31 |
Jasmin M Guzman | 8190 Sw 89th Place, Miami, FL 33173 | Registered Nurse | 1995-08-07 ~ 1996-08-31 |
Kathleen C Traenkle | 10030 Sw 85 Terrace, Miami, FL 33173 | Registered Nurse | 1999-07-16 ~ 2000-05-31 |
Cinthya R Arriola | 11334 Sw 70th Ter, Miami, FL 33173-1910 | Registered Nurse | ~ |
Find all Licenses in zip 33173 |
City | MIAMI |
Zip Code | 33173 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + MIAMI |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Mayuri N Shah | Po Box 176, Paterson, NJ 07533 | Physician/surgeon | 2002-12-23 ~ 2003-12-31 |
Nickul Shah | 49 Glendale Rd, Agawam, MA 01001-3348 | Physician/surgeon | ~ |
Ami A Shah | 245 East 58th St, Apt 12a, New York, NY 10022 | Physician/surgeon | 2012-05-01 ~ 2013-04-30 |
Sachin J Shah | 27 Bowman Dr, Greenwich, CT 06831-3236 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
Khushali Shah | 40 Prospect Ave Apt 2-2f, Norwalk, CT 06850-3719 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Faisal M. Shah | 16 Templer Way, Hazlet, NJ 07730-1605 | Physician/surgeon | 2012-06-07 ~ 2013-06-30 |
Rahman Shah Md | 13 Clark St#1, New Haven, CT 06511 | Physician/surgeon | 2006-03-28 ~ 2007-03-31 |
Meghna Shah | 115 Ivy Ln, South Windsor, CT 06074 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Neel P Shah | 39 Hospital Ave, Danbury, CT 06810-6027 | Physician/surgeon | 2018-04-01 ~ 2019-03-31 |
Nilay Ramesh Shah | 250 Ashland Pl Apt 49j, Brooklyn, NY 11217-4342 | Physician/surgeon | ~ |
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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).