SAFAL HATHIRAMANI (Credential# 1348804) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is October 13, 2016. The license expiration date date is August 31, 2017. The license status is INACTIVE.
SAFAL HATHIRAMANI is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.055822. The credential type is physician/surgeon. The effective date is October 13, 2016. The expiration date is August 31, 2017. The business address is 21 Lehigh Dr, Kendall Park, NJ 08824-1912. The current status is inactive.
| Licensee Name | SAFAL HATHIRAMANI |
| Credential ID | 1348804 |
| Credential Number | 1.055822 |
| Credential Type | Physician/Surgeon |
| Business Address |
21 Lehigh Dr Kendall Park NJ 08824-1912 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2016-10-13 |
| Effective Date | 2016-10-13 |
| Expiration Date | 2017-08-31 |
| Refresh Date | 2017-12-04 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1385821 | CSP.0064251 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2016-10-25 | 2016-10-25 - 2017-02-28 | INACTIVE |
| Street Address | 21 LEHIGH DR |
| City | KENDALL PARK |
| State | NJ |
| Zip Code | 08824-1912 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Patrick A Josephs | 21 Crestview Drive, Kendall Park, NJ 08824 | Certified General Real Estate Appraiser | 2020-05-01 ~ 2021-04-30 |
| Marc S Mastro | 3176 Route 27, Kendall Park, NJ 08824 | Tax Preparer/facilitator Permit | 2020-02-11 ~ 2022-02-28 |
| Yehya M Asker | 7 Drexel Hill Drive, Kendall Park, NJ 08824 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Matthew R Panconi | 17 Williams St, Kendall Park, NJ 08824 | Heating, Piping & Cooling Unlimited Contractor | 2019-09-01 ~ 2020-08-31 |
| Mitchell H Frumkin | 7 Nancy St, Kendall Pk, NJ 08824 | Professional Engineer | 1993-02-18 ~ 1994-01-31 |
| Theodore N Green | 76 Kingsley Rd, Kendall Park, NJ 08824 | Professional Engineer | 2008-02-01 ~ 2009-01-31 |
| Lynne C Hewitt | 6 Newman Road, Kendall Park, NJ 08824 | Advanced Practice Registered Nurse | 2003-07-30 ~ 2004-09-30 |
| Douglas P Alizio | 61 Hastings Road, Kendall Park, NJ 08824 | Registered Nurse | 1995-03-13 ~ 1995-12-31 |
| Laurence D Runsdorf | 20 Donald Ave, Kendall Park, NJ 08824 | Pharmacist | 1800-12-27 ~ 1989-03-31 |
| Judith L Wolfers | 11 Hamilton Ct, Kendall Park, NJ 08824 | Dental Hygienist | 1994-11-21 ~ 1995-12-31 |
| Find all Licenses in zip 08824 | |||
| City | KENDALL PARK |
| Zip Code | 08824 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + KENDALL PARK |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Safal Shetty | 267 Grant St., Podium 4 Medical Education, Bridgeport, CT 06610-0120 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Russell H Harris Md | Envision Physician Services, Horsham, PA 19044 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
| Gilbert L Drozdow | Envision Physician Services, Plantation, FL 33322 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
| Penny Lamhut Md | Genesis Physician Services, Windsor, CT 06098 | Physician/surgeon | 1999-07-15 ~ 2000-07-31 |
| Arnold R Kriegstein | College Physician, New York, NY 10032 | Physician/surgeon | 1993-04-23 ~ 1994-03-31 |
| John T Thompson | Physician Pavilion W, Towson, MD 21204 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Brent Robert Jacobson | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Catherine Nguyen Keegan | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| Nazanin Barzideh Md | North Shore Retina Physician, Pllc, East Hills, NY 11576 | Physician/surgeon | 2010-05-01 ~ 2011-04-30 |
| Sajot S Grewal Md | Danbury Office of Physician Services PC, Danbury, CT 06810 | Physician/surgeon | 2004-01-30 ~ 2005-03-31 |
Please comment or provide details below to improve the information on SAFAL HATHIRAMANI.
| 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).