SHILPA GUNTAKA (Credential# 1488514) is licensed (Resident Physician) with Connecticut Department of Consumer Protection. The license effective date is June 28, 2016. The license expiration date date is June 30, 2022. The license status is ACTIVE.
SHILPA GUNTAKA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.057909-RES. The credential type is resident physician. The effective date is June 28, 2016. The expiration date is June 30, 2022. The business address is 282 Washington St, Hartford, CT 06106-3322. The current status is active.
| Licensee Name | SHILPA GUNTAKA |
| Credential ID | 1488514 |
| Credential Number | 1.057909-RES |
| Credential Type | Resident Physician |
| Credential SubCategory | RES |
| Business Address |
282 Washington St Hartford CT 06106-3322 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2016-06-28 |
| Effective Date | 2016-06-28 |
| Expiration Date | 2022-06-30 |
| Refresh Date | 2019-04-29 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1352446 | CSP.0062649 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2016-06-22 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 282 Washington St |
| City | Hartford |
| State | CT |
| Zip Code | 06106-3322 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Chelsea A Lepus | 282 Washington St, Hartford, CT 06106-3322 | Resident Physician | 2016-06-28 ~ 2022-06-30 |
| Connecticut Children's Medical Center | 282 Washington St, Hartford, CT 06106-3322 | Children's Hospital | 2020-01-01 ~ 2021-12-31 |
| Caroline Debenedictis | 282 Washington St, Hartford, CT 06106-3322 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Logan Jerger | 282 Washington St, Hartford, CT 06106-3322 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Christine M Skurkis Md | 282 Washington St, Hartford, CT 06106 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| James E Moore | 282 Washington St, Hartford, CT 06106-3322 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Glenn Flores | 282 Washington St, Hartford, CT 06106-3322 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Sarah Jessica Florence | 282 Washington St, Hartford, CT 06106-3322 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| Anne Griffin Dudley | 282 Washington St, Hartford, CT 06106-3322 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Hillary S Hernandez-trujillo | 282 Washington St, Hartford, CT 06106 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| John M Norko | 282 Washington St Suite 5b, Hartford, CT 06106-3322 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Jennifer Leslie Knod | 282 Washington St Ste 1h, Hartford, CT 06106-3322 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Olga H Toro-salazar | 282 Washington St # 2b, Hartford, CT 06106-3322 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Katalin M Ross | 282 Washington St # 816, Hartford, CT 06106-3322 | Dietitian/nutritionist | 2019-12-01 ~ 2020-11-30 |
| Lawrence Zemel | 282 Washington St Dept Rheumatology, Hartford, CT 06106-3322 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Derek Y. Obayashi | 282 Washington St Ste 2b, Hartford, CT 06106-3322 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
| Nehal S Parikh | 282 Washington St Ste 5a, Hartford, CT 06106-3322 | Physician/surgeon | 2016-09-01 ~ 2017-08-31 |
| Tingting Huang | 282 Washington St, 4h, Hartford, CT 06106-3322 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
| Raina Sinha | 282 Washington St # 2b, Hartford, CT 06106-3322 | Controlled Substance Registration for Practitioner | 2020-01-02 ~ 2021-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Connpirg Education Fund Inc | 2074 Park St #210, Hartford, CT 06106 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Environment Connecticut Research & Policy Center Inc | 2074 Park St, #210, Hartford, CT 06106 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Douglas Laing Rock Oyster | Statewide, Hartford, CT 06106 | Liquor Brand Label | 2016-08-03 ~ 2019-08-02 |
| Randall S Luther | 146 Wyllys St 1-203, Hartford, CT 06106 | Architect | 2020-08-01 ~ 2021-07-31 |
| Guillermina Gonzalez | 97 Amity St., Hartford, CT 06106 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Keyonni Jones | 54 Grafton St, Hartford, CT 06106 | Medication Administration Certification | ~ |
| Amber Nicole Perretta | 125 Zion St 2n, Hartford, CT 06106 | Hairdresser/cosmetician | ~ |
| Jose B. Jiminian · Danny's Market Grocery Store | 33 Park Street, Hartford, CT 06106 | Grocery Beer | 2020-08-01 ~ 2021-07-31 |
| Alice G Nieto | 29 Kelsey Street, Hartford, CT 06106 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Malinda M Rodriguez | 27 Amity Street #3, Hartford, CT 06106 | Notary Public Appointment | ~ |
| Find all Licenses in zip 06106 | |||
| City | Hartford |
| Zip Code | 06106 |
| License Type | Resident Physician |
| License Type + County | Resident Physician + Hartford |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Shilpa Manjunath Gowda | 110 4th Ave Apt 4e, Brooklyn, NY 11217-2788 | Physician/surgeon | ~ |
| Shilpa Saxena | 574 Summit Ave, Jersey City, NJ 07306 | Physician/surgeon | 2019-10-01 ~ 2020-10-31 |
| Shilpa Rajashekar | 21 South Road, Farmington, CT 06032 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Shilpa Kadam | 50 Hospital Hill Rd, Sharon, CT 06069-2096 | Physician/surgeon | 2019-04-01 ~ 2020-03-31 |
| Shilpa Mikkilineni | 13098 Westheimer Road, Houston, TX 77077 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| Shilpa K Vaidya | 3 Pine Lodge Place, The Woodlands, TX 77382-2015 | Physician/surgeon | 2002-06-25 ~ 2003-03-31 |
| Shilpa R Desai | 1336 Long Ridge Rd, Stamford, CT 06903-4504 | Physician Assistant | 2020-07-01 ~ 2021-06-30 |
| Shilpa Paul | 259 Tamarack Dr, Bloomingdale, IL 60108-1709 | Pharmacist | 2012-08-17 ~ 2014-01-31 |
| Shilpa Gambeer Rao | 4 Earl St, Salem, NH 03079-2529 | Physical Therapist | 2019-07-01 ~ 2020-06-30 |
| Shilpa Kanakadandi | 197 E Main St, Waterbury, CT 06702-2323 | Pharmacy Technician | 2013-04-24 ~ 2014-03-31 |
Please comment or provide details below to improve the information on SHILPA GUNTAKA.
| 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).