DEEPTHI NAIK (Credential# 1502679) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2020. The license expiration date date is May 31, 2021. The license status is ACTIVE.
DEEPTHI NAIK is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.061409. The credential type is physician/surgeon. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 6 Ledgemoor Ln, Westport, CT 06880-3708. The current status is active.
Licensee Name | DEEPTHI NAIK |
Credential ID | 1502679 |
Credential Number | 1.061409 |
Credential Type | Physician/Surgeon |
Business Address |
6 Ledgemoor Ln Westport CT 06880-3708 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2018-06-20 |
Effective Date | 2020-06-01 |
Expiration Date | 2021-05-31 |
Refresh Date | 2020-05-05 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1525601 | CSP.0068777 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2018-06-22 | 2019-03-01 - 2021-02-28 | ACTIVE |
Street Address | 6 LEDGEMOOR LN |
City | WESTPORT |
State | CT |
Zip Code | 06880-3708 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Tracy E Betar | 15 Ledgemoor Ln, Westport, CT 06880-3708 | Real Estate Salesperson | 2017-06-01 ~ 2018-05-31 |
Rebecca G Oren | 5 Ledgemoor Ln, Westport, CT 06880-3708 | Bingo Operator | 2015-03-13 ~ |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Toni L Bucker | 4 Wild Rose Rd, Westport, CT 06880 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Jee Hyun Kim | 1 Allen Lane, Westport, CT 06880 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-26 ~ 2021-07-31 |
Donna Vaccarella | 15 Keyser Rd, Westport, CT 06880 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
Sandra Gibson | 12 Bayberry Ln, Westport, CT 06880 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Adil Salam Md | 44 Crawford Rd, Westport, CT 06880 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
Joanne C Sosnoski | 24 Hawatha Lane, Westport, CT 06880 | Dental Hygienist | 2020-08-01 ~ 2021-07-31 |
Rachel Lynn | 495 Post Rd East, Westport, CT 06880 | Eyelash Technician | ~ |
Beginnings: An Infant/toddler Program | 71 Hillandale Road, Westport, CT 06880 | Group Child Care Home | 2018-01-01 ~ 2021-12-31 |
Shelley S Ross | 28 Old Hill Farms Rd, Westport, CT 06880 | Dietitian/nutritionist | 2020-08-01 ~ 2021-07-31 |
Robert W Van Summern | 279 Wilton Rd, Westport, CT 06880 | Architect | 2020-08-01 ~ 2021-07-31 |
Find all Licenses in zip 06880 |
City | WESTPORT |
Zip Code | 06880 |
License Type | Physician/Surgeon |
License Type + County | Physician/Surgeon + WESTPORT |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Nayana D Naik | 140 Runnymede Rd, Rochester, NY 14618 | Physician/surgeon | 1998-08-19 ~ 1999-09-30 |
Komal D Naik Do | 403 Cypress Rd, Newington, CT 06111 | Physician/surgeon | 2006-10-06 ~ 2007-11-30 |
Snehal Naik Md | 66 Windmill Ln, Newington, CT 06111-4746 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
Puja Naik | 915 Broadway, New York, NY 10010 | Physician/surgeon | 2017-10-24 ~ 2018-06-30 |
Asmika D Naik | 85 Somerton Place, Columbia, SC 29209 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
Neel Naik | 525 East 68th Street, New York, NY 10128 | Physician/surgeon | 2020-01-09 ~ 2021-01-31 |
Deepthi Kodali | 263 Farmington Avenue, Farmington, CT 06030-1921 | Resident Physician | 2016-06-28 ~ 2020-06-30 |
Sreelatha Naik | 29 N Lake Dr, Hamden, CT 06517-2415 | Resident Physician | 2012-07-01 ~ 2020-06-30 |
Rohan Naik | 263 Farmington Avenue, Farmington, CT 06030-1921 | Resident Physician | 2020-07-01 ~ 2023-06-30 |
Deepthi Chaitanya Kagolanu | 57 Herkimer St, Brooklyn, NY 11216-2780 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
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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).