RAJ P SHAH
Physician/surgeon


Address: 7540 Sw 107th Ave Apt 5101, Miami, FL 33173-2996

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.

Business Overview

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.

Basic Information

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

Other licenses

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

Office Location

Street Address 7540 SW 107TH AVE APT 5101
City MIAMI
State FL
Zip Code 33173-2996

Licenses in the same zip code

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 ~
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Competitor

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City MIAMI
Zip Code 33173
License Type Physician/Surgeon
License Type + County Physician/Surgeon + MIAMI

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Dataset Information

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).

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