PAVANI REDDY MD
Controlled Substance Registration for Practitioner


Address: 3101 Dalia Court, Yorktown Heights, NY 10598

PAVANI REDDY MD (Credential# 184144) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2009. The license expiration date date is February 28, 2011. The license status is INACTIVE.

Business Overview

PAVANI REDDY MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0025934. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2009. The expiration date is February 28, 2011. The business address is 3101 Dalia Court, Yorktown Heights, NY 10598. The current status is inactive.

Basic Information

Licensee Name PAVANI REDDY MD
Credential ID 184144
Credential Number CSP.0025934
Credential Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
Business Address 3101 Dalia Court
Yorktown Heights
NY 10598
Business Type INDIVIDUAL
Status INACTIVE - DOES NOT WISH TO RENEW
Issue Date 2006-03-07
Effective Date 2009-03-01
Expiration Date 2011-02-28
Refresh Date 2011-01-27

Other licenses

ID Credential Code Credential Type Issue Term Status
553822 1.036230 Physician/Surgeon 1997-07-25 2005-03-16 - 2006-05-31 INACTIVE

Office Location

Street Address 3101 DALIA COURT
City YORKTOWN HEIGHTS
State NY
Zip Code 10598

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Competitor

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City YORKTOWN HEIGHTS
Zip Code 10598
License Type CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER
License Type + County CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + YORKTOWN HEIGHTS

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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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