ANJALI AGRAWAL MD (Credential# 559351) 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 ACTIVE.
ANJALI AGRAWAL MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.041768. The credential type is physician/surgeon. The effective date is July 1, 2020. The expiration date is June 30, 2021. The business address is 22 Llanfair Rd, Ardmore, PA 19003. The current status is active.
| Licensee Name | ANJALI AGRAWAL MD |
| Credential ID | 559351 |
| Credential Number | 1.041768 |
| Credential Type | Physician/Surgeon |
| Business Address |
22 Llanfair Rd Ardmore PA 19003 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2003-08-12 |
| Effective Date | 2020-07-01 |
| Expiration Date | 2021-06-30 |
| Refresh Date | 2020-06-13 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 425838 | CSP.0038695 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2006-01-09 | 2017-03-01 - 2019-02-28 | LAPSED |
| Street Address | 22 Llanfair Rd, |
| City | Ardmore |
| State | PA |
| Zip Code | 19003 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Arjun Kalyanpur Md | 22 Llanfair Rd, Ardmore, PA 19003 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Sylvia Gyapong | 22 Llanfair Rd, Ardmore, PA 19003 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
| Sanjay V Kamath | 22 Llanfair Rd, Ardmore, PA 19003-2320 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
| Matthew A Fox | 22 Llanfair Rd, Ardmore, PA 19003-2320 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
| Margaret M. Goodman | 22 Llanfair Rd, Ardmore, PA 19003 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
| Manohar Aribandi | 22 Llanfair Rd, Ardmore, PA 19003 | Physician/surgeon | 2019-08-01 ~ 2020-07-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lorenzo Mannelli | 22 Llanfair Rd., Ardmore, PA 19003 | Physician/surgeon | ~ |
| Sumathi Wable | 22 Llanfair Rd., Ardmore, PA 19003 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Aditya R Daftary Md | 22 Llanfair Road, Ardmore, PA 19003 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| Justin Stiles Clark | 22 Llanfair Road, Unit 6, Ardmore, PA 19003 | Physician/surgeon | 2019-11-01 ~ 2020-11-30 |
| Langan Phelps Robbins | 22 Llanfair Rd, Ardmore, PA 19003 | Physician/surgeon | 2019-11-01 ~ 2020-10-31 |
| Eric F Bernstein | 32 Parking Plaza, Ardmore, PA 19003 | Physician/surgeon | 2018-07-01 ~ 2019-06-30 |
| Jessica A Vitali | 2435 Bryn Mawr Avenue, Ardmore, PA 19003 | Architect | 2019-08-01 ~ 2020-07-31 |
| Robert F Serpente | 310 Ardmore Ave, Ardmore, PA 19003 | Professional Engineer | 1990-12-20 ~ 1992-01-31 |
| Daniel H Socket | 2735 Haverford Road, Arvmore, PA 19003 | Professional Engineer | 1997-02-01 ~ 1998-01-31 |
| Ephraim F Brecher | 731 W Wynnewood Rd #19, Ardmore, PA 19003 | Professional Engineer | 2001-02-01 ~ 2002-01-31 |
| Find all Licenses in zip 19003 | |||
| City | Ardmore |
| Zip Code | 19003 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Ardmore |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Pooja Agrawal | 464 Congress Ave Suite #260, New Haven, CT 06510 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Nidhi Agrawal Md | Generations Family Health Ctr, Willimantic, CT 06226 | Physician/surgeon | 2004-08-13 ~ 2005-08-31 |
| Sanjay Agrawal | Glenfield Hospital, Leicester, England, LE3 9QP | Physician/surgeon | 2012-07-01 ~ 2013-06-30 |
| Anjali Thukral | 25 Martine Ave., White Plains, NY 10606 | Physician/surgeon | 2002-04-03 ~ 2003-05-31 |
| Anjali G Jain | 773 Orange Street, New Haven, CT 06511 | Physician/surgeon | 1997-07-10 ~ 1998-07-31 |
| Anjali Mehta | Women's Health Connecticut, Bridgeport, CT 06606 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Gautam Atul Agrawal | 2825 Oak Lawn Ave Unit 192749, Dallas, TX 75219-4688 | Physician/surgeon | 2020-06-23 ~ 2020-11-30 |
| Anjali A Satoskar | 5774 Country House Lane, Dublin, OH 43017 | Physician/surgeon | 2002-12-31 ~ 2003-05-31 |
| Anjali Viswanathan | 1121 Cooper Road, Scotch Plains, NJ 07076 | Physician/surgeon | 2008-02-19 ~ 2009-04-30 |
| Sabhyata Agrawal | 20 York St, New Haven, CT 06510 | Resident Physician | 2019-07-01 ~ 2020-06-30 |
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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).