MAMATHA PUNJALA MD (Credential# 556141) is licensed (Physician/surgeon) 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 APPROVED.
MAMATHA PUNJALA MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.038553. The credential type is physician/surgeon. The effective date is July 1, 2020. The expiration date is June 30, 2021. The business address is 333 Cedar Street, New Haven, CT 06520-8051. The current status is approved.
| Licensee Name | MAMATHA PUNJALA MD |
| Credential ID | 556141 |
| Credential Number | 1.038553 |
| Credential Type | Physician/Surgeon |
| Business Address |
333 Cedar Street New Haven CT 06520-8051 |
| Business Type | INDIVIDUAL |
| Status | APPROVED - CURRENT |
| Active | 1 |
| Issue Date | 2000-04-12 |
| Effective Date | 2020-07-01 |
| Expiration Date | 2021-06-30 |
| Refresh Date | 2020-06-25 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 365015 | CSP.0030703 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2001-03-28 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 333 CEDAR STREET |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06520-8051 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Molly Elizabeth Mcadow | 333 Cedar Street, New Haven, CT 06510 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Katherine Nash | 333 Cedar Street, New Haven, CT 06511 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Richard Bronen Md | 333 Cedar Street, New Haven, CT 06520-8042 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Dianne Lee | 333 Cedar Street, New Haven, CT 06520 | Resident Physician | 2017-07-01 ~ 2021-06-30 |
| Lavanya Bellumkonda | 333 Cedar Street, New Haven, CT 06520-8017 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Zachary A Corbin | 333 Cedar Street, New Haven, CT 06520 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Engin Deniz Md | 333 Cedar Street, New Haven, CT 06510 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Daniel P Petrylak | 333 Cedar Street, New Haven, CT 06520 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Kelly May Werner | 333 Cedar Street, New Haven, CT 06520 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Hamita Sachar | 333 Cedar Street, New Haven, CT 06520 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Chantelle M Shimono-legault Aprn | 333 Cedar St. Tmp3, New Haven, CT 06520-8051 | Advanced Practice Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Shaun E Gruenbaum | 333 Cedar St, Tmp-3, New Haven, CT 06520-8051 | Physician/surgeon | 2018-08-01 ~ 2019-07-31 |
| David G Silverman Md | Yale Univ Sch of Med 333 Cedar St, New Haven, CT 06520-8051 | Physician/surgeon | 2019-08-01 ~ 2020-07-31 |
| Philip K Kraker | Yale Dept of Anes, New Haven, CT 06520-8051 | Physician/surgeon | 2000-04-13 ~ 2001-05-31 |
| Sabrina Bent Md | Yale University Anesthesia Dept, New Haven, CT 06520-8051 | Controlled Substance Registration for Practitioner | 1998-03-01 ~ 1999-02-28 |
| Thomas Hackmann Md | Yale Univ/ Dept of Anesthesiology, New Haven, CT 06520-8051 | Controlled Substance Registration for Practitioner | 2004-02-29 ~ 2005-02-28 |
| Margaret J Rose | 333 Cedar St Tmp 3, New Haven, CT 06520-8051 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Ponnamma M Chenanda Md | Dept of Anesthesiology, New Haven, CT 06520-8051 | Physician/surgeon | 2003-09-22 ~ 2004-08-31 |
| Sara L Rogers Md | Yale Univ School of Medicine, New Haven, CT 06520-8051 | Controlled Substance Registration for Practitioner | 2000-01-03 ~ 2001-02-28 |
| Sorin J Brull Md | Yale School of Medicine, New Haven, CT 06520-8051 | Controlled Substance Registration for Practitioner | 1998-03-01 ~ 1999-02-28 |
| Find all Licenses in zip 06520-8051 | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Orchestra New England | P.o. Box 200123, New Haven, CT 06520 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Catherine A Dinauer | 333 Cedar St., Fmb 131, New Haven, CT 06520 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Kofi Agyare Mensah | 300 Cedar Street, New Haven, CT 06520 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Kevin Huang | 330 Cedar Street, New Haven, CT 06520 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Mubdiul Imtiaz Ali | 300 Cedar St, Tac S425, New Haven, CT 06520 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Dr Akhil Khosla | 300 Cedar St, Tac S425 P.o. Box 208057, New Haven, CT 06520 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Scott N Gettinger Md | 333 Cedar St-yale Cancer Center, New Haven, CT 06520 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Lindsay Sarah Mcalpine | Yale -new Haven Hospital, New Haven, CT 06520 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Michael Hurwitz | 333 Cedar St Www211, New Haven, CT 06520 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Patrick M Popiel | Yale University, Department of Ob/gyn, New Haven, CT 06520 | Resident Physician | 2017-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06520 | |||
| City | NEW HAVEN |
| Zip Code | 06520 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + NEW HAVEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mamatha R Gadarla Md | 11 B, Hazen Court, Wayne, NJ 07470 | Physician/surgeon | 2008-05-27 ~ 2009-06-30 |
| Mamatha Ramesh Gowda | 9 Lafayette Dr, Livingston, NJ 07039-3410 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Mamatha Kadiyala | 282 Kinne Road, Glastonbury, CT 06033 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Penny Lamhut Md | Genesis Physician Services, Windsor, CT 06098 | Physician/surgeon | 1999-07-15 ~ 2000-07-31 |
| 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 |
| 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 |
| Brent Robert Jacobson | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Catherine Nguyen Keegan | Envision Physician Services, Dallas, TX 75240 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
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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).