PREETHAM GRANDHI MD (Credential# 555395) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 23, 2001. The license expiration date date is June 30, 2002. The license status is INACTIVE.
PREETHAM GRANDHI MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.037805. The credential type is physician/surgeon. The effective date is April 23, 2001. The expiration date is June 30, 2002. The business address is 38 Marbourne Dr, Mamaroneck, NY 10543. The current status is inactive.
| Licensee Name | PREETHAM GRANDHI MD |
| Credential ID | 555395 |
| Credential Number | 1.037805 |
| Credential Type | Physician/Surgeon |
| Business Address |
38 Marbourne Dr Mamaroneck NY 10543 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1999-06-04 |
| Effective Date | 2001-04-23 |
| Expiration Date | 2002-06-30 |
| Refresh Date | 2009-07-11 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 216937 | CSP.0028607 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2001-03-01 - 2002-02-28 | INACTIVE |
| Street Address | 38 MARBOURNE DR |
| City | MAMARONECK |
| State | NY |
| Zip Code | 10543 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Danielle Lombardozzi | 336 Florence Streeet, Mamaroneck, NY 10543 | Registered Nurse | ~ |
| Benedict Salanitro | 609 Brook Street, Mamaroneck, NY 10543 | Physical Therapist | 2020-09-01 ~ 2021-08-31 |
| Martin D Keltz | 1000 Old White Plains Rd, Mamaroneck, NY 10543 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Pamela Bren | 3 Jenny Close, Mamaroneck, NY 10543 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Jeremy R Sanderson | 1311 Stoneybrook Ave., Mamaroneck, NY 10543 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Anthony Cecere | 200 West Boston Post Road, Mamaroneck, NY 10543 | Real Estate Salesperson | 2017-06-01 ~ 2018-05-31 |
| Elizabeth A Anderson | 315 Anita Lane, Mamaroneck, NY 10543 | Physical Therapist | 2020-07-01 ~ 2021-06-30 |
| Catherine L Leone | 453 Halstead Avenue, Apt. 7, Mamaroneck, NY 10543 | Notary Public Appointment | 2020-05-01 ~ 2025-04-30 |
| Gregg Cameron Deangelis | 451 E Boston Post Rd 2nd Flr, Mamaroneck, NY 10543 | Architect | 2018-08-01 ~ 2019-07-31 |
| Allan G Styer | 325 Union Ave, Mamaroweck, NY 10543 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
| Find all Licenses in zip 10543 | |||
| City | MAMARONECK |
| Zip Code | 10543 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + MAMARONECK |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Preetham Bangera | 117 Rockwood Ave, Ansonia, CT 06401-3032 | Home Improvement Salesperson | 2016-01-14 ~ 2016-11-30 |
| Anupama Grandhi | 1701 East 12th Street, Apt. 22yw, Cleveland, OH 44114 | Dentist | 2008-11-03 ~ 2009-11-30 |
| Gilbert L Drozdow | Envision Physician Services, Plantation, FL 33322 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
| Russell H Harris Md | Envision Physician Services, Horsham, PA 19044 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
| Penny Lamhut Md | Genesis Physician Services, Windsor, CT 06098 | Physician/surgeon | 1999-07-15 ~ 2000-07-31 |
| John T Thompson | Physician Pavilion W, Towson, MD 21204 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Arnold R Kriegstein | College Physician, New York, NY 10032 | Physician/surgeon | 1993-04-23 ~ 1994-03-31 |
| Catherine Nguyen Keegan | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| Brent Robert Jacobson | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Nazanin Barzideh Md | North Shore Retina Physician, Pllc, East Hills, NY 11576 | Physician/surgeon | 2010-05-01 ~ 2011-04-30 |
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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).