TUSHAR PATEL MD
Controlled Substance Registration for Practitioner


Address: 3620 Joseph Siewick Dr, Fairfax, VA 22033-1756

TUSHAR PATEL MD (Credential# 164561) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 11, 2015. The license expiration date date is February 28, 2017. The license status is INACTIVE.

Business Overview

TUSHAR PATEL MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0023237. The credential type is controlled substance registration for practitioner. The effective date is March 11, 2015. The expiration date is February 28, 2017. The business address is 3620 Joseph Siewick Dr, Fairfax, VA 22033-1756. The current status is inactive.

Basic Information

Licensee Name TUSHAR PATEL MD
Credential ID 164561
Credential Number CSP.0023237
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 3620 Joseph Siewick Dr
Fairfax
VA 22033-1756
Business Type INDIVIDUAL
Status INACTIVE - DOES NOT WISH TO RENEW
Effective Date 2015-03-11
Expiration Date 2017-02-28
Refresh Date 2017-01-18

Other licenses

ID Credential Code Credential Type Issue Term Status
552105 1.034509 Physician/Surgeon 1995-05-26 2013-04-01 - 2014-03-31 INACTIVE

Other locations

Licensee Name Office Address Credential Effective / Expiration
Tushar Patel Md 263 Farmington Ave, Farmington, CT 06030-0001 Controlled Substance Registration for Practitioner 2011-04-09 ~ 2013-02-28

Office Location

Street Address 3620 JOSEPH SIEWICK DR
City FAIRFAX
State VA
Zip Code 22033-1756

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Competitor

Search similar business entities

City FAIRFAX
Zip Code 22033
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + FAIRFAX

Similar businesses

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Devang N Patel Md Apt B-3, Farmington, CT 06032 Controlled Substance Registration for Practitioner 1998-03-01 ~ 1999-02-28
Biraj Patel New Haven, CT 06511 Controlled Substance Registration for Practitioner 2008-03-03 ~ 2009-02-28
Krupa B Patel Stamford, CT 06902 Controlled Substance Registration for Practitioner 2017-03-01 ~ 2019-02-28
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Dataset Information

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).

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