MAMATHA KADIYALA (Credential# 560477) 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.
MAMATHA KADIYALA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.042895. The credential type is physician/surgeon. The effective date is July 1, 2020. The expiration date is June 30, 2021. The business address is 282 Kinne Road, Glastonbury, CT 06033. The current status is active.
| Licensee Name | MAMATHA KADIYALA |
| Credential ID | 560477 |
| Credential Number | 1.042895 |
| Credential Type | Physician/Surgeon |
| Business Address |
282 Kinne Road Glastonbury CT 06033 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2004-10-26 |
| Effective Date | 2020-07-01 |
| Expiration Date | 2021-06-30 |
| Refresh Date | 2020-06-24 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 1492639 | CSP.0067452 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2018-02-20 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 282 Kinne Road |
| City | Glastonbury |
| State | CT |
| Zip Code | 06033 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Tulasikrishna Kadiyala | 282 Kinne Road, Glastonbury, CT 06033 | Emergency Medical Technician | ~ |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Vanessa Segal | 46 Salem Court, Glastonbury, CT 06033 | Hairdresser/cosmetician | ~ |
| Laura Nadeau | 3641 Hebron Ave, Glastonbury, CT 06033 | Respiratory Care Practitioner | 2020-08-01 ~ 2021-07-31 |
| Abigail Lynn Hubbard | 55 Brookview Drive, Glastonbury, CT 06033 | Emergency Medical Technician | ~ |
| Maureen E Booth | 36 Hubbard Run Drive, Glastonbury, CT 06033 | Speech and Language Pathologist | 2020-07-01 ~ 2021-06-30 |
| Wendy B Johnson | 1789 Main St, Glastonbury, CT 06033 | Architect | 2020-08-01 ~ 2021-07-31 |
| Michael D Devanney Pa | 28 Evergreen Ln, Glastonbury, CT 06033 | Physician Assistant | 2020-09-01 ~ 2021-08-31 |
| Sophie C Gomez · Pirog | 81 Three Mile Rd, Glastonbury, CT 06033 | Licensed Practical Nurse | 2020-07-01 ~ 2021-06-30 |
| Jennifer R Briones | 90 Deerfield Drive, Glastonbury, CT 06033 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Munson's Chocolates | 135 Glastonbury Blvd, Glastonbury, CT 06033 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
| Yulhun Sung | 245 Griswold St Unit A, Glastonbury, CT 06033 | Combination Nail Technician, Esthetician Or Eyelash Technici | ~ |
| Find all Licenses in zip 06033 | |||
| City | Glastonbury |
| Zip Code | 06033 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Glastonbury |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mamatha Ramesh Gowda | 9 Lafayette Dr, Livingston, NJ 07039-3410 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Mamatha Punjala Md | 333 Cedar Street, New Haven, CT 06520-8051 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Mamatha R Gadarla Md | 11 B, Hazen Court, Wayne, NJ 07470 | Physician/surgeon | 2008-05-27 ~ 2009-06-30 |
| Rajendra K Kadiyala | 622 W168th Street, New York, NY 10032 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
| Samatha K Kadiyala Md | 615 Thoreau Circle, Windsor, CT 06095 | Physician/surgeon | 2009-07-23 ~ 2010-06-30 |
| Deepak Kadiyala | 240 South Marcliffe Dr Unit 7, Valparaiso, IN 46385 | Physician/surgeon | 2012-10-01 ~ 2013-09-30 |
| Manjeera Kadiyala | 14015 Holly Ave Apt 4f, Flushing, NY 11355-3422 | Dentist | 2012-11-07 ~ 2013-11-30 |
| Tulasikrishna Kadiyala | 282 Kinne Road, Glastonbury, CT 06033 | Emergency Medical Technician | ~ |
| Vinay B Kadiyala | 53 Midbrook Ln, Old Greenwich, CT 06870-1432 | Emergency Medical Technician | 2009-10-22 ~ 2011-07-01 |
| Niveditha Kadiyala | 21 Beecher Lane, Rocky Hill, CT 06067-3148 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
Please comment or provide details below to improve the information on MAMATHA KADIYALA.
| 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).