SHREE PRIYA GOVINDARAJAN (Credential# 1665044) is licensed (Resident Physician) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2020. The license expiration date date is June 30, 2021. The license status is ACTIVE.
SHREE PRIYA GOVINDARAJAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.063553-RES. The credential type is resident physician. The effective date is July 1, 2020. The expiration date is June 30, 2021. The business address is 20 York Street, Tompkins 2, Room 226, New Haven, CT 06510-3202. The current status is active.
| Licensee Name | SHREE PRIYA GOVINDARAJAN |
| Credential ID | 1665044 |
| Credential Number | 1.063553-RES |
| Credential Type | Resident Physician |
| Credential SubCategory | RES |
| Business Address |
20 York Street, Tompkins 2, Room 226 New Haven CT 06510-3202 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2019-06-10 |
| Effective Date | 2020-07-01 |
| Expiration Date | 2021-06-30 |
| Refresh Date | 2020-06-04 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1666935 | CSP.0071442 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2019-06-07 | 2019-06-07 - 2021-02-28 | ACTIVE |
| Street Address | 20 YORK STREET, TOMPKINS 2, ROOM 226 |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06510-3202 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Adrienne Brooke Mejia | 20 York Street, Tompkins 2, Room 226, New Haven, CT 06510-3220 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Marianne More Casilla-lennon | 20 York Street, Tompkins 2, Room 226, New Haven, CT 06510-3202 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Tanner Ian Kim | 20 York Street, Tompkins 2, Room 226, New Haven, CT 06510-3220 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Deephak Swaminath | 20 York Street, Tompkins 2, Room 226, New Haven, CT 06510-3202 | Resident Physician | 2017-07-24 ~ 2021-06-30 |
| Fiorella Llanos Chea | 20 York Street, Tompkins 2, Room 226, New Haven, CT 06510-3202 | Resident Physician | 2017-07-01 ~ 2021-06-30 |
| Benjamin Lu | 20 York Street, Tompkins 2, Room 226, New Haven, CT 06510-3220 | Resident Physician | 2019-07-01 ~ 2021-06-30 |
| Mollie Bess Tucker | 20 York Street, Tompkins 2, Room 226, New Haven, CT 06510-3202 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Vivian Ortiz | 20 York Street, Tompkins 2, Room 226, New Haven, CT 06510-3202 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Ali Kamran | 20 York Street, Tompkins 2, Room 226, New Haven, CT 06510 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Leila Haghighat | 20 York Street, Tompkins 2, Room 226, New Haven, CT 06510-3220 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Adam Jeffrey Korus | C/o 20 York Street Tompkins 2 Rm# 226, New Haven, CT 06510-3202 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Yuxin Liu | C/o 20 York Street, Tompkins 2, Room 226, New Haven, CT 06510-3202 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Richard A Lane | 16 Leroy Ter, New Haven, CT 06510-3202 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Jason Jiachen Hao | 20 York Street Thompkins 2, Room 226, New Haven, CT 06510-3202 | Controlled Substance Registration for Practitioner | 2019-04-01 ~ 2021-02-28 |
| Leo M Cooney Jr | Dorothy Adler Center, New Haven, CT 06510-3202 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Tovy Haber Kamine | 20 York St, Tompkins 2 Rm 226, New Haven, CT 06510-3202 | Physician/surgeon | 2016-09-27 ~ 2017-06-30 |
| Richard F Smith | Yale-new Haven Hospital, New Haven, CT 06510-3202 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Benjamin Jang | Yale-new Haven Hospital, New Haven, CT 06510-3202 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| David Nathan Suwondo | Yale-new Haven Hospital, New Haven, CT 06510-3202 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| David Molho | 20 York Street, New Haven, CT 06510-3202 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06510-3202 | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Gary P Bernardi Jr | Yale New Haven Hospital, New Haven, CT 06510 | Advanced Practice Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Katherine G Kennedy | 65 Trumbull St, New Haven, CT 06510 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Molly Elizabeth Mcadow | 333 Cedar Street, New Haven, CT 06510 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Brady Dunkle | 58 Vernon Street, New Haven, CT 06510 | Registered Nurse | ~ |
| Karin Ann Price | 20 York St, New Haven, Ct 06510, New Haven, CT 06510 | Registered Nurse - Temporary | 2020-06-25 ~ 2020-10-23 |
| G C S Constuction LLC | 142 Temple Street, New Haven, CT 06510 | Major Contractor | 2020-07-01 ~ 2021-06-30 |
| Paul L Mccarthy Md · Yale School of Medicine | Dept of Pediatrics, New Haven, CT 06510 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Lauren E Cohn Md | Yale New-haven Hospital, New Haven, CT 06510 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Bong Francois | 900 Chapel St Apt 901, New Haven, CT 06510 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Pelli Clarke Pelli Architects Inc. | 1056 Chapel St, New Haven, CT 06510 | Architecture Corporation | 2020-08-01 ~ 2021-07-31 |
| Find all Licenses in zip 06510 | |||
| City | NEW HAVEN |
| Zip Code | 06510 |
| License Type | Resident Physician |
| License Type + County | Resident Physician + NEW HAVEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Priya Besagar | 2705 Timberglen Dr, Wexford, PA 15090-7599 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Padma Priya Kondur Puttagunta | 80 Seymour St, Hartford, CT 06102-5037 | Resident Physician | 2019-07-01 ~ 2023-06-30 |
| Vishnu Priya Pulipati | 263 Farmington Avenue, Farmington, CT 06030-1921 | Resident Physician | 2015-06-28 ~ 2018-06-30 |
| Jay Shree Krashna LLC · Grand News | 156 Bank St, Waterbury, CT 06702-2210 | Lottery Sales Agent | 2020-04-01 ~ 2021-03-31 |
| Shree Vinayak Inc | 358 Long Ridge Rd, Stamford, CT 06902-1628 | Dealer of Electronic Nicotine Delivery System Or Vapor Product | 2016-03-01 ~ 2017-02-28 |
| Shree Sumtinath Inc | 1183 Townsend Ave, New Haven, CT 06512-1951 | Dealer of Electronic Nicotine Delivery System Or Vapor Product | 2020-02-29 ~ 2021-02-28 |
| Jay Shree Krashna LLC · Grandnews | 156 Bank St, Waterbury, CT 06702-2210 | Non Legend Drug Permit | 2015-09-01 ~ 2015-12-31 |
| Shree Jai Ambe LLC | 15 Fern Hill Rd, Watertown, CT 06795-1513 | Lottery Sales Agent | 2020-04-01 ~ 2021-03-31 |
| Shree Gopal LLC | 67 Church Hill Rd, Newtown, CT 06470 | Retail Gasoline Dealer | 2009-11-01 ~ 2010-10-31 |
| Shree Raj Grocery | 78 Pane Rd, Newington, CT 06111-5521 | Operator of Weighing & Measuring Devices | 2011-10-26 ~ 2012-07-31 |
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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).