EDA CENGIZ MD (Credential# 563228) 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.
EDA CENGIZ MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.045646. The credential type is physician/surgeon. The effective date is July 1, 2020. The expiration date is June 30, 2021. The business address is Dept of Pediatrics, New Haven, CT 06520. The current status is active.
| Licensee Name | EDA CENGIZ MD |
| Credential ID | 563228 |
| Credential Number | 1.045646 |
| Credential Type | Physician/Surgeon |
| Business Address |
Dept of Pediatrics New Haven CT 06520 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2007-07-11 |
| Effective Date | 2020-07-01 |
| Expiration Date | 2021-06-30 |
| Refresh Date | 2020-05-21 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 471488 | CSP.0041517 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2007-07-19 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | DEPT OF PEDIATRICS |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06520 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Paul L Mccarthy Md · Yale School of Medicine | Dept of Pediatrics, New Haven, CT 06510 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Sally E Shaywitz Md | Dept of Pediatrics, New Haven, CT 06520-8064 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| M Susan Moyer Md · Yale Univ School of Medicine | Dept of Pediatrics, New Haven, CT 06520-8064 | Physician/surgeon | 2002-12-24 ~ 2004-02-29 |
| Richard B Johnston Jr | Dept of Pediatrics, New Haven, CT 06520 | Physician/surgeon | 1998-06-26 ~ 1999-08-31 |
| Yale School of Medicine · Mary Susan Moyer Md | Dept of Pediatrics, New Haven, CT 06520 | Controlled Substance Laboratory | 1997-04-17 ~ 1998-01-31 |
| David Bachman Md · Yale University | Dept of Pediatrics, New Haven, CT 06510 | Controlled Substance Registration for Practitioner | 1994-06-24 ~ 1996-07-01 |
| 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 |
|---|---|---|---|
| Cengiz Akici · Bella Luna | 1 Ives St, Danbury, CT 06810 | Restaurant Liquor | 2007-02-01 ~ 2008-01-31 |
| Cengiz Inal | 2800 Main St # Level3, Bridgeport, CT 06606-4201 | Controlled Substance Registration for Practitioner | 2009-06-15 ~ 2011-02-28 |
| 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 |
| Gilbert L Drozdow | Envision Physician Services, Plantation, FL 33322 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
| Arnold R Kriegstein | College Physician, New York, NY 10032 | Physician/surgeon | 1993-04-23 ~ 1994-03-31 |
| John T Thompson | Physician Pavilion W, Towson, MD 21204 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| 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).