CHANAKYA KUMAR JANDHYALA (Credential# 1471929) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2020. The license expiration date date is March 31, 2021. The license status is ACTIVE.
CHANAKYA KUMAR JANDHYALA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.060101. The credential type is physician/surgeon. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 2 Trap Falls Rd Ste 404, Shelton, CT 06484-7622. The current status is active.
| Licensee Name | CHANAKYA KUMAR JANDHYALA |
| Credential ID | 1471929 |
| Credential Number | 1.060101 |
| Credential Type | Physician/Surgeon |
| Business Address |
2 Trap Falls Rd Ste 404 Shelton CT 06484-7622 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2018-03-02 |
| Effective Date | 2020-04-01 |
| Expiration Date | 2021-03-31 |
| Refresh Date | 2020-01-08 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1495820 | CSP.0067540 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2018-03-02 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 2 TRAP FALLS RD STE 404 |
| City | SHELTON |
| State | CT |
| Zip Code | 06484-7622 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Gerald Cambria Md | 2 Trap Falls Rd Ste 404, Shelton, CT 06484-4665 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Gary R Richo Md | 2 Trap Falls Rd Ste 404, Shelton, CT 06484-4665 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Scott Waller Md | 2 Trap Falls Rd Ste 404, Shelton, CT 06484-4665 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Sean J Muldoon | 2 Trap Falls Rd Ste 404, Shelton, CT 06484-7622 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Sophie's Kitchen LLC | 2 Trap Falls Rd Ste 108, Shelton, CT 06484-7622 | Bakery | 2013-12-20 ~ 2014-06-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Scott J Kudravy | 2a Garden Ter, Shelton, CT 06484 | Radiographer | 2020-08-01 ~ 2021-07-31 |
| Melissa E Filanowski | 265 Mohegan Rd, Shelton, CT 06484 | Licensed Practical Nurse | 2020-09-01 ~ 2021-08-31 |
| Danuta Adamson · Chmiel | 101 Dickinson Drive, Shelton, CT 06484 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
| Sandra E Mercier | 234 Deer Run, Huntington, CT 06484 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Ping Li | 17 Coram Rd 3c, Shelton, CT 06484 | Nail Technician | ~ |
| Victoria Mary Bucci | 53 Isinglass Rd, Shelton, CT 06484 | Master's Level Social Worker | ~ |
| Samuel L Smith | 122 Maple Avenue, Shelton, CT 06484 | Dietitian/nutritionist | 2020-08-01 ~ 2021-07-31 |
| Cindy Hubbell Vidal | 17 Sherwood Lane, Shelton, CT 06484 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Rosa Conners | 189 Coram Avenue, Shelton, CT 06484 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Erica Azzarito | 40 Clinton Drive, Shelton, CT 06484 | Notary Public Appointment | 2020-08-01 ~ 2025-07-31 |
| Find all Licenses in zip 06484 | |||
| City | SHELTON |
| Zip Code | 06484 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + SHELTON |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Arvind Kumar | CT | Physician/surgeon | 1988-05-27 ~ 1988-12-31 |
| Sandeep Kumar | 300 Woodcliff Rd, Newton, MA 02461-2128 | Physician/surgeon | ~ |
| Swarup Kumar | 24 Park Pl Apt 9f, Hartford, CT 06106-5022 | Physician/surgeon | ~ |
| Anil Kumar Mongia | 381 Elm Dr, Roslyn, NY 11576-3045 | Physician/surgeon | ~ |
| Alok Kumar | 759 Chestnut St, Springfield, MA 01199-1001 | Physician/surgeon | ~ |
| Kumar S Kalapatapu | Chappaqua, NY 10514 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Shweta Kumar | 115 West Rd, Apt 402, Ellington, CT 06029 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Shruti Kumar | 44 Uplands Way, Glastonbury, CT 06033-3357 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Manjula Kumar | 913 W. Lockhart St, Sayre, PA 18840 | Physician/surgeon | 1996-12-19 ~ 1997-10-31 |
| Angelish Kumar | 60 Broadway, Brooklyn, NY 11249 | Physician/surgeon | 2018-04-01 ~ 2019-03-31 |
Please comment or provide details below to improve the information on CHANAKYA KUMAR JANDHYALA.
| 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).