HAIMAVATHI BHAT (Credential# 1385023) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is November 1, 2019. The license expiration date date is October 31, 2020. The license status is ACTIVE.
HAIMAVATHI BHAT is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.055895-DO. The credential type is physician/surgeon. The effective date is November 1, 2019. The expiration date is October 31, 2020. The business address is 340 Media Station Road, Media, PA 19063. The current status is active.
| Licensee Name | HAIMAVATHI BHAT |
| Credential ID | 1385023 |
| Credential Number | 1.055895-DO |
| Credential Type | Physician/Surgeon |
| Credential SubCategory | DO |
| Business Address |
340 Media Station Road Media PA 19063 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2016-11-03 |
| Effective Date | 2019-11-01 |
| Expiration Date | 2020-10-31 |
| Refresh Date | 2019-10-31 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1388096 | CSP.0064315 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2016-11-08 | 2017-03-01 - 2019-02-28 | LAPSED |
| Street Address | 340 Media Station Road |
| City | Media |
| State | PA |
| Zip Code | 19063 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| John J Coyle | 112 Chesley Drive, Media, PA 19063 | Temporary Certified General Real Estate Appraiser | 2019-04-17 ~ 2020-04-17 |
| Mary H Rozzi | 417 Meadowhurst Lane, Media, PA 19063 | Registered Nurse | 2020-03-01 ~ 2021-02-28 |
| Matthew A Foster | 205 Cherrywood Lane, Media, PA 19063 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Janice E Kunst | 1521 Down Street, Media, PA 19063 | Certified Public Accountant Certificate | 2020-01-01 ~ 2020-12-31 |
| Russell Neithammer | 415 Jackson St, Media, PA 19063 | Professional Engineer | 2020-02-01 ~ 2021-01-31 |
| Charles Samuel Dunn | 1129 Roberts Rd, Media, PA 19063 | Veterinarian | ~ |
| Robert H Linn | 1140 N Providecnce Rd, Media, PA 19063 | Architect | 2019-08-01 ~ 2020-07-31 |
| Wawa Dairy Farms | Baltimore Pike, Wawa, PA 19063 | Non-alcoholic Beverage & Water Bottlers | 1996-07-01 ~ 1997-06-30 |
| Thomas S Foley | 102 Black Bass Ln East, Media, PA 19063 | Professional Engineer | 2016-02-01 ~ 2017-01-31 |
| Clifford A Woodbury 3rd | 445 S Old Middletown Rd, Media, PA 19063 | Professional Engineer | 2016-02-01 ~ 2017-01-31 |
| Find all Licenses in zip 19063 | |||
| City | Media |
| Zip Code | 19063 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Media |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Shankar P Bhat | Bo Box 15538, Durham, NC 27704 | Physician/surgeon | 1980-01-02 ~ 1981-04-30 |
| Vijay Rajendra Bhat | 150 Spear St, San Francisco, CA 94105 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
| Syed B Bhat | 1901 Washington Blvd, Easton, PA 18042 | Physician/surgeon | 2003-06-26 ~ 2004-02-29 |
| Kabekode Omkar Bhat | 49 Friendship Street, Willimantic, CT 06226 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Neema Bhat | 18107 Northern Dancer Lane, Boyds, MD 20841 | Physician/surgeon | 2019-01-17 ~ 2019-12-31 |
| Varun Bhat | Hartford Hospital, Hartford, CT 06102 | Physician/surgeon | 2019-10-07 ~ 2020-03-31 |
| Jasra Ali Bhat | 630 Mix Ave Apt 2e, Hamden, CT 06514-2359 | Resident Physician | 2019-07-23 ~ 2021-06-30 |
| Varun Bhat | 80 Seymour St, Po Box 5037, Hartford, CT 06102-5037 | Resident Physician | 2015-07-01 ~ 2020-06-30 |
| Ayshwarya C Bhat | 14 Sunset Lane, New Milford, CT 06776 | Pharmacy Technician | 2004-04-01 ~ 2005-03-31 |
| Ganesh V Bhat | 3015 84th St, East Elmhurst, NY 11370-1922 | Pharmacist | ~ |
Please comment or provide details below to improve the information on HAIMAVATHI BHAT.
| 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).