RADHIKA JASTHI MD (Credential# 303923) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
RADHIKA JASTHI MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0032016. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is 29 Hospital Plz Ste 490, Stamford, CT 06902-3602. The current status is active.
Licensee Name | RADHIKA JASTHI MD |
Credential ID | 303923 |
Credential Number | CSP.0032016 |
Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
Business Address |
29 Hospital Plz Ste 490 Stamford CT 06902-3602 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2002-03-26 |
Effective Date | 2019-03-01 |
Expiration Date | 2021-02-28 |
Refresh Date | 2019-01-07 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
557742 | 1.040159 | Physician/Surgeon | 2002-02-14 | 2019-09-01 - 2020-08-31 | ACTIVE |
Street Address | 29 HOSPITAL PLZ STE 490 |
City | STAMFORD |
State | CT |
Zip Code | 06902-3602 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Carolyn M Testa-casino | 29 Hospital Plz Ste 495, Stamford, CT 06902-3602 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
Laura Beth Burey | 4 Hospital Plz Ste 414, Stamford, CT 06902-3602 | Physician/surgeon | 2020-05-01 ~ 2021-05-31 |
Lynda S. Streett | 29 Hospital Plz Ste 605, Stamford, CT 06902-3602 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
Andrew J Seto | 1 Hospital Plz, Stamford, CT 06902-3602 | Resident Physician | 2020-07-01 ~ 2025-06-30 |
Walgreens # 16549 | 1 Hospital Plz Ste G122, Stamford, CT 06902-3602 | Pharmacy | 2019-09-01 ~ 2020-08-31 |
Csaba Gajdos | 1 Hospital Plz # 1, Stamford, CT 06902-3602 | Physician/surgeon | 2018-04-01 ~ 2019-03-31 |
Kathleen A O'connor Pa | 4 Hospital Plz Ste 102, Stamford, CT 06902-3602 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Katherine N Howard | 1 Hospital Plz, Stamford, CT 06902-3602 | Resident Physician | 2020-07-01 ~ 2025-06-30 |
Thomas Tritt | 1 Hospital Plz, Stamford, CT 06902-3602 | Resident Physician | 2019-07-01 ~ 2024-06-30 |
Anil Shah | 1 Hospital Plz, Stamford, CT 06902-3602 | Resident Physician | 2019-07-01 ~ 2024-06-30 |
Find all Licenses in zip 06902-3602 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Jeris Maydeli Flores | 153 Fairfield Av, Stamford, CT 06902 | Nail Technician | ~ |
Reynaldo De La Cruz | 64 Brookside Drive, Stamford, CT 06902 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Darren J Petillo | 5 Hundley Court, Stamford, CT 06902 | Licensed Clinical Social Worker | 2020-09-01 ~ 2021-08-31 |
Antonios Restaurant | 405 West Main St, Stamford, CT 06902 | Bakery | 2020-07-01 ~ 2021-06-30 |
Edward Smith | 184 Fairfield Ave., Stamford, CT 06902 | Home Improvement Contractor | ~ |
Margaret A Dorrance | 24c Hamilton Court, Stamford, CT 06902 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Carolyn Maguire | 48 Nelson St, Stamford, CT 06902 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Evelyne Joassin | 17 George St., Stamford, CT 06902 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
Andrea Bynoe | 34 Melrose Pl, Stamford, CT 06902 | Notary Public Appointment | 1994-04-06 ~ 1999-04-30 |
Ravi K Ahuja | 296 Westover Rd, Stamford, CT 06902 | Architect | 2020-08-01 ~ 2021-07-31 |
Find all Licenses in zip 06902 |
City | STAMFORD |
Zip Code | 06902 |
License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + STAMFORD |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Radhika Levaka | 37 Oak Street, Harrison, NY 10528 | Controlled Substance Registration for Practitioner | 2011-03-01 ~ 2013-02-28 |
Radhika Purushothaman Md | 2 Church St S Ste 405, New Haven, CT 06519-1717 | Controlled Substance Registration for Practitioner | 2011-03-07 ~ 2013-02-28 |
Radhika Rani Govindaswamy | 267 Grant St, Bridgeport, CT 06610-2805 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Radhika Adiraju Md | 100 Grand Street, New Britain, CT 06050 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Radhika Naga Ayyagari | 44 Dale Rd, Avon, CT 06001-4315 | Controlled Substance Registration for Practitioner | 2019-06-24 ~ 2021-02-28 |
Radhika A Agrawal | 34 Patriot Trail, Shelton, CT 06484 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Radhika Thappeta | 1897 Gaineswood Dr, Tuscaloosa, AL 35406-3554 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
Radhika Chaudhary | 203 Cedar Hill Dr, Canonsburg, PA 15317-2526 | Controlled Substance Registration for Practitioner | 2019-08-02 ~ 2021-02-28 |
Radhika M K Shah | 400 Blake Street, Apt. 4306, New Haven, CT 06515 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
Radhika Dave | Yale New Haven Hospital, New Haven, CT 06520 | Controlled Substance Registration for Practitioner | 2015-03-01 ~ 2017-02-28 |
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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).