KALPANA REDDY (Credential# 1653367) is licensed (Resident Physician) with Connecticut Department of Consumer Protection. The license effective date is June 24, 2019. The license expiration date date is July 2, 2023. The license status is ACTIVE.
KALPANA REDDY is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.062935-RES. The credential type is resident physician. The effective date is June 24, 2019. The expiration date is July 2, 2023. The business address is 90 South Main St., Middletown, CT 06457. The current status is active.
| Licensee Name | KALPANA REDDY |
| Credential ID | 1653367 |
| Credential Number | 1.062935-RES |
| Credential Type | Resident Physician |
| Credential SubCategory | RES |
| Business Address |
90 South Main St. Middletown CT 06457 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-06-24 |
| Effective Date | 2019-06-24 |
| Expiration Date | 2023-07-02 |
| Refresh Date | 2019-05-01 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1667820 | CSP.0071506 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2019-06-11 | 2019-06-11 - 2021-02-28 | ACTIVE |
| Street Address | 90 SOUTH MAIN ST. |
| City | MIDDLETOWN |
| State | CT |
| Zip Code | 06457 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Alexandra Stanford | 90 South Main St., Middletown, CT 06457 | Resident Physician | 2019-06-24 ~ 2023-07-02 |
| Joshua Jones | 90 South Main St., Middletown, CT 06457 | Resident Physician | 2019-06-24 ~ 2023-07-02 |
| Arti Bhukhen | 90 South Main St., Middletown, CT 06457 | Resident Physician | 2019-06-24 ~ 2023-07-02 |
| Gianpaolo Rufo | 90 South Main St., Middletown, CT 06457 | Resident Physician | 2019-06-24 ~ 2023-07-02 |
| Sona Sadselia-patel | 90 South Main St., Middletown, CT 06457 | Resident Physician | 2019-06-24 ~ 2023-07-02 |
| Teresa Domack | 90 South Main St., Middletown, CT 06457 | Resident Physician | 2014-06-23 ~ 2018-09-09 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Elizabeth M Mailhot | 177 Timber Ridge Rd, Middletown, CT 06457 | Dental Hygienist | 2020-08-01 ~ 2021-07-31 |
| Rebecca S Fennessy | 22 Keefe Ln, Middletown, CT 06457 | Licensed Clinical Social Worker | 2020-07-01 ~ 2021-06-30 |
| Eloise M Gagnon | 538 Bow Lane, Middletown, CT 06457 | Hairdresser/cosmetician | 2020-08-01 ~ 2022-07-31 |
| Salvatore Dimauro | 245 Dekoven Dr, Middletown, CT 06457 | Public Weigher | 2020-07-01 ~ 2021-06-30 |
| Frank L Wright | 261 Spencer Dr, Middletown, CT 06457 | Barber | 2020-08-01 ~ 2022-07-31 |
| Gino A Cardella | 50 Sonoma Lane, Middletown, CT 06457 | Real Estate Salesperson | ~ |
| Shannon Lee Mcquillan | 5 Forest Glen Circle, Middletown, CT 06457 | Registered Nurse | 2020-06-26 ~ 2020-09-30 |
| Lori Dimauro · Carta | 244 Chamberlain Hill Road, Middletown, CT 06457 | Hairdresser/cosmetician | 2020-09-01 ~ 2022-08-31 |
| Gail A Corrow | 85 Dora Dr, Middletown, CT 06457 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Mariter V Perez | 8 Moss Glen, Middletown, CT 06457 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06457 | |||
| City | MIDDLETOWN |
| Zip Code | 06457 |
| License Type | Resident Physician |
| License Type + County | Resident Physician + MIDDLETOWN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Kalpana Shah | 2800 Main Street, Bridgeport, CT 06606 | Resident Physician | 2020-07-01 ~ 2024-06-30 |
| Pranav Reddy | 20 York St, New Haven, CT 06510-3220 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Dr. Reddy's Laboratories LLC · Dr. Reddy's Laboratories Louisiana, LLC | 880 Line Avenue, Shreveport, LA 71106 | Out of State Manufacturer of Drugs, Cosmetics & Medical Devices | 2013-07-24 ~ |
| Kalpana L. Mani | 16 Janson Dr, Westport, CT 06880 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Kalpana Gupta | 255 Cherry St, West Newton, MA 02465-1233 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
| Kalpana J Modi Md | 6 Germantown Road, Danbury, CT 06810 | Physician/surgeon | 2003-11-20 ~ 2004-10-31 |
| Kalpana Y Boyapati | 1059 Burke Ave West, Roseville, MN 55113 | Physician/surgeon | 1992-12-22 ~ 1993-08-24 |
| Kalpana P Desai | 39835 Grove Heights, Lady Lake, FL 32959 | Physician/surgeon | 2011-09-01 ~ 2012-08-31 |
| Kalpana R Pandit | 4949 Westown Pkwy, West Des Moines, IA 50266 | Physician/surgeon | 1999-10-01 ~ 2000-11-30 |
| Sushma Reddy Donthi Reddy | Bright Dental Care, PC. Suite 203, Springfield, MA 01103 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
Please comment or provide details below to improve the information on KALPANA REDDY.
| 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).