SHAILJA MEHTA (Credential# 1513260) 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.
SHAILJA MEHTA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.061756. The credential type is physician/surgeon. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 800 Howard Ave Fl 3, New Haven, CT 06519-1369. The current status is active.
| Licensee Name | SHAILJA MEHTA |
| Credential ID | 1513260 |
| Credential Number | 1.061756 |
| Credential Type | Physician/Surgeon |
| Business Address |
800 Howard Ave Fl 3 New Haven CT 06519-1369 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2018-08-10 |
| Effective Date | 2020-06-01 |
| Expiration Date | 2021-05-31 |
| Refresh Date | 2020-05-18 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1592622 | CSP.0069318 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2018-08-14 | 2019-03-01 - 2021-02-28 | ACTIVE |
| 1673202 | 1.063829-RES | Resident Physician | 2019-07-01 | 2019-07-01 - 2020-06-30 | ACTIVE |
| Street Address | 800 HOWARD AVE FL 3 |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06519-1369 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| David Emmanuel Gutierrez | 800 Howard Ave Fl 1, New Haven, CT 06519-1369 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Lee E Rubin | 800 Howard Ave, New Haven, CT 06519-1369 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Daniel R Cooperman | 47 Congress Avenue, New Haven, CT 06519-1369 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Franklin C Brown | 800 Howard Ave Lowr Level, New Haven, CT 06519-1369 | Psychologist | 2020-03-01 ~ 2021-02-28 |
| Christopher Fa Benjamin | 800 Howard Ave # Ll, New Haven, CT 06519-1369 | Psychologist | 2019-10-01 ~ 2020-09-30 |
| Walgreens #13945 | 800 Howard Ave Ste 197, New Haven, CT 06519-1369 | Pharmacy | 2019-09-01 ~ 2020-08-31 |
| Nikita Vijayta Kohli | 800 Howard Ave Fl 4, New Haven, CT 06519-1369 | Controlled Substance Registration for Practitioner | 2019-07-03 ~ 2021-02-28 |
| Navid Pourtaheri | 800 Howard Ave # 2, New Haven, CT 06519-1369 | Controlled Substance Registration for Practitioner | 2019-06-10 ~ 2021-02-28 |
| Sirisha Sanamandra | 800 Howard Ave Ste Lowrlevel, New Haven, CT 06519-1369 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| P Christopher H Gottschalk | Ypb Lower Level, New Haven, CT 06519-1369 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Find all Licenses in zip 06519-1369 | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Vinod H Srihari Md | 34 Park St Cmhc, New Haven, CT 06519 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Monica Brito Salinas | 111 Kimberly Ave., New Haven, CT 06519 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2022-02-28 |
| Walter Mathis | 34 Park St., New Haven, CT 06519 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Kimberly Pizza · Emmanuel Zorgias | 34 Kimberly Ave, New Haven, CT 06519 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Slawomir Piascik | 51 Longhini Lane, New Haven, CT 06519 | Asbestos Abatement Supervisor | 2020-08-01 ~ 2021-07-31 |
| Margaret T Boron | 428 Columbus Ave, New Haven, CT 06519 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Laura Ann Dicola | Connecticut Mental Health Center Law & Psychiatry, New Haven, CT 06519 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Elizabeth Parson | 689 Congress Ave, New Haven, CT 06519 | Medication Administration Certification | 2020-08-05 ~ 2022-08-04 |
| Alejandra Lopez Cervantes | 10 Hedge St, New Haven, CT 06519 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-20 ~ 2021-08-31 |
| Deicy Alexandra Urena Dagua | 267 Howard Ave, New Haven, CT 06519 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-20 ~ 2021-10-31 |
| Find all Licenses in zip 06519 | |||
| City | NEW HAVEN |
| Zip Code | 06519 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + NEW HAVEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Shailja Roy | 8 Brewster Dr, Mays Landing, NJ 08330-9203 | Physician/surgeon | 2012-01-01 ~ 2012-12-31 |
| Bella Mehta | 535 E 70th St, New York, NY 10021-4823 | Physician/surgeon | ~ |
| Amee Mehta | 71 Haynes St, Manchester, CT 06040 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Meena Mehta | 185 Tamarack Ln, Boxborough, MA 01719-2126 | Physician/surgeon | 2016-05-01 ~ 2017-04-30 |
| Vinod C Mehta | 279 Oakville Ave, Waterbury, CT 06708-1637 | Physician/surgeon | 1984-04-02 ~ 2018-08-22 |
| Kaushal Mehta | 22 Llanfair Rd Unit 6, Ardmore, PA 19003-2320 | Physician/surgeon | 2019-09-20 ~ 2020-04-30 |
| Savant Mehta | 352 Belmont Street, Worcester, MA 01604 | Physician/surgeon | 2016-07-01 ~ 2017-06-30 |
| Nimish H Mehta | 5 Cambridge Drive, Colonia, NJ 07067 | Physician/surgeon | 2002-05-02 ~ 2002-10-31 |
| Arun A Mehta | #604, Dunnock Apartments, Pune, 411028 | Physician/surgeon | 2006-06-01 ~ 2007-06-30 |
| Anish Jayesh Mehta | 245 5th Ave Floor 3, New York, NY 10016 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
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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).