SRINIVAS B MUVVALA MD (Credential# 564941) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is August 1, 2020. The license expiration date date is July 31, 2021. The license status is ACTIVE.
SRINIVAS B MUVVALA MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.047359. The credential type is physician/surgeon. The effective date is August 1, 2020. The expiration date is July 31, 2021. The business address is 1 Long Wharf Drive (satu), New Haven, CT 06511. The current status is active.
| Licensee Name | SRINIVAS B MUVVALA MD |
| Credential ID | 564941 |
| Credential Number | 1.047359 |
| Credential Type | Physician/Surgeon |
| Business Address |
1 Long Wharf Drive (satu) New Haven CT 06511 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2009-02-11 |
| Effective Date | 2020-08-01 |
| Expiration Date | 2021-07-31 |
| Refresh Date | 2020-06-13 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 529713 | CSP.0045351 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2009-04-27 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 1 Long Wharf Drive (SATU) |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06511 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Montessori School On Edgewood Inc. | 230 Edgewood Avenue, New Haven, CT 06511 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Therese Parks · Visel Drug Store | 264 Munson St, New Haven, CT 06511 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Dazjia Monet Green | 115 Edgewood Ave Apt 64, New Haven, CT 06511 | Registered Nurse | 2020-06-27 ~ 2021-05-31 |
| Carol Yam | 343 Humphrey St, New Haven, CT 06511 | Registered Nurse | ~ |
| Marwan S Haddad | 38 Lincoln Street, New Haven, CT 06511 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Mary Lou Gaeta Md | 558 Chapel Street, New Haven, CT 06511 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Cary M Tucker | 64 Bishop St, New Haven, CT 06511 | Architect | 2020-08-01 ~ 2021-07-31 |
| Frank J Pannenborg | 505 Ellsworth Ave, New Haven, CT 06511 | Architect | 2020-08-01 ~ 2021-07-31 |
| Crystal E Gooding | 26 Woodland Street, New Haven, CT 06511 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
| Kieran Jones | 260 Crown St Unit 1f, New Haven, CT 06511 | Registered Nurse | ~ |
| Find all Licenses in zip 06511 | |||
| City | NEW HAVEN |
| Zip Code | 06511 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + NEW HAVEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Srinivas B Rapuri | Lexington, KY 40513 | Physician/surgeon | 2019-07-01 ~ 2020-06-30 |
| Srinivas H. Reddy | 111 Wheatley Rd, Old Westbury, NY 11568-1210 | Physician/surgeon | 2013-08-01 ~ 2014-07-31 |
| Nikhil Srinivas Seval | 135 College St, New Haven, CT 06510 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Srinivas Seela Md | 261 Blake Road, Hamden, CT 06517 | Physician/surgeon | 2005-03-16 ~ 2006-05-31 |
| Gujjarappa Srinivas | 1742 S Pleasant Dr, Chandler, AZ 85286-7033 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Srinivas Rangu Md | 71 John Olds Dr Apt 108, Manchester, CT 06040 | Physician/surgeon | 2000-03-13 ~ 2001-04-30 |
| Srinivas M Raju Md | 6 Robert Treat Drive, Milford, CT 06460 | Physician/surgeon | 2003-11-10 ~ 2004-10-31 |
| Srinivas R Mandavilli | 100 Wood Pond Road, West Hartford, CT 06107 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Nikhil Srinivas Seval | 20 York St, New Haven, CT 06510 | Resident Physician | 2017-07-01 ~ 2020-06-30 |
| Srinivas B Nadadur | 263 Farmington Ave, Farmington, CT 06030-0001 | Resident Physician | 2019-07-01 ~ 2022-06-30 |
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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).