NOAH P KONDAMUDI
Physician/surgeon


Address: 191 Willoughby St, Brooklyn, NY 11201

NOAH P KONDAMUDI (Credential# 552678) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is November 21, 1996. The license expiration date date is December 31, 1997. The license status is INACTIVE.

Business Overview

NOAH P KONDAMUDI is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.035084. The credential type is physician/surgeon. The effective date is November 21, 1996. The expiration date is December 31, 1997. The business address is 191 Willoughby St, Brooklyn, NY 11201. The current status is inactive.

Basic Information

Licensee Name NOAH P KONDAMUDI
Credential ID 552678
Credential Number 1.035084
Credential Type Physician/Surgeon
Business Address 191 Willoughby St
Brooklyn
NY 11201
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1996-02-23
Effective Date 1996-11-21
Expiration Date 1997-12-31
Refresh Date 2009-07-08

Office Location

Street Address 191 WILLOUGHBY ST
City BROOKLYN
State NY
Zip Code 11201

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City BROOKLYN
Zip Code 11201
License Type Physician/Surgeon
License Type + County Physician/Surgeon + BROOKLYN

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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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