MANDANA MAHMOODI (Credential# 563505) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is October 1, 2019. The license expiration date date is September 30, 2020. The license status is ACTIVE.
MANDANA MAHMOODI is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.045923. The credential type is physician/surgeon. The effective date is October 1, 2019. The expiration date is September 30, 2020. The business address is 15 Crawford St Ste 100, Needham, MA 02494-2618. The current status is active.
| Licensee Name | MANDANA MAHMOODI |
| Credential ID | 563505 |
| Credential Number | 1.045923 |
| Credential Type | Physician/Surgeon |
| Business Address |
15 Crawford St Ste 100 Needham MA 02494-2618 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2007-10-17 |
| Effective Date | 2019-10-01 |
| Expiration Date | 2020-09-30 |
| Refresh Date | 2019-07-19 |
| Street Address | 15 CRAWFORD ST STE 100 |
| City | NEEDHAM |
| State | MA |
| Zip Code | 02494-2618 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mei-yu Hsu | 15 Crawford St Ste 100, Needham, MA 02494-2618 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Mary Aldrene L Tan | 15 Crawford St Ste 100, Needham, MA 02494-2618 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
| Tanya Arvind Rege | 15 Crawford St Ste 100, Needham, MA 02494-2618 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
| Yanlong Zhang | 15 Crawford St Ste 100, Needham, MA 02494-2618 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
| Mahmoud Goodarzi | 15 Crawford St Ste 100, Needham, MA 02494-2618 | Physician/surgeon | 2019-09-01 ~ 2020-08-31 |
| Mark S Redston | 15 Crawford St Ste 100, Needham, MA 02494-2618 | Physician/surgeon | 2018-05-01 ~ 2019-04-30 |
| Adriano Piris | 15 Crawford St Ste 100, Needham, MA 02494-2618 | Physician/surgeon | 2018-01-01 ~ 2018-12-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Aaron Mark Adler | 18 Crawford Street, Needham, MA 02494 | Certified Residential Real Estate Appraiser | 2020-05-01 ~ 2021-04-30 |
| Corey M Bialow | 200 Highland Avenue, Needham, MA 02494 | Real Estate Broker | 2020-04-01 ~ 2021-03-31 |
| Daniel C Brocks | 464 Hillside Ave, Needham, MA 02494 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Convergent Dental, Inc. | 140 Kendrick Street, Needham Heights, MA 02494 | Securities - Exemptions | 2020-01-24 ~ |
| Philip F Quillard | 178/180 West Street, Needham, MA 02494 | Nursing Home Administrator | 2020-02-01 ~ 2022-01-31 |
| Mohammad Hadi Esteghamati | 57 Noanett Rd, Needham, MA 02494 | Physician/surgeon | 2020-01-01 ~ 2020-12-31 |
| Caroline Wolfenden Archibald | 275 2nd Ave, Needham, MA 02494 | Registered Nurse | ~ |
| Christopher A Dowling | 15 Crawford St, Needham, MA 02494 | Physician/surgeon | 2019-12-01 ~ 2020-11-30 |
| Fallon Development Inc | 171 Reservoir St, Needham, MA 02494 | New Home Construction Contractor | 2009-10-01 ~ 2011-09-30 |
| Arash Radfar | 15 Crawford St., Needham, MA 02494 | Physician/surgeon | 2019-10-01 ~ 2020-09-30 |
| Find all Licenses in zip 02494 | |||
| City | NEEDHAM |
| Zip Code | 02494 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + NEEDHAM |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mandana Chitsazan | 34 Maple St, Norwalk, CT 06850-3815 | Resident Physician | 2020-06-22 ~ 2023-06-30 |
| Pulwasha Mahmoodi | 22 Fulmore Drive, Waterford, CT 06385 | Pharmacy Technician | 2018-06-15 ~ 2019-03-31 |
| Nina Y Ho | 525 Mandana Apt #311, Oakland, CA 94610 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Mandana Rastegar | 401 Whitney Ave Apt 1, New Haven, CT 06511-2340 | Controlled Substance Registration for Practitioner | 2013-03-01 ~ 2015-02-28 |
| Mandana Mahmoudi | 110 Canner St, New Haven, CT 06511-2278 | Controlled Substance Registration for Practitioner | 2011-03-11 ~ 2013-02-28 |
| Mandana Rostamian | 1008-9633 Manchester Dr, British Columbia, V3N4Y9 | Registered Nurse | 2011-04-01 ~ 2012-03-31 |
| 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 |
| John T Thompson | Physician Pavilion W, Towson, MD 21204 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
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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).