SHANTANU SRINIVASAN KIDAMBI
Physician/surgeon


Address: 82 Lakeside Ave, Webster, MA 01570-1568

SHANTANU SRINIVASAN KIDAMBI (Credential# 565105) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2020. The license expiration date date is April 30, 2021. The license status is ACTIVE.

Business Overview

SHANTANU SRINIVASAN KIDAMBI is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.047523. The credential type is physician/surgeon. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 82 Lakeside Ave, Webster, MA 01570-1568. The current status is active.

Basic Information

Licensee Name SHANTANU SRINIVASAN KIDAMBI
Credential ID 565105
Credential Number 1.047523
Credential Type Physician/Surgeon
Business Address 82 Lakeside Ave
Webster
MA 01570-1568
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2009-04-01
Effective Date 2020-05-01
Expiration Date 2021-04-30
Refresh Date 2020-02-14

Other licenses

ID Credential Code Credential Type Issue Term Status
530162 CSP.0045379 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2009-04-17 2019-03-12 - 2021-02-28 ACTIVE

Office Location

Street Address 82 lakeside ave
City WEBSTER
State MA
Zip Code 01570-1568

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Robert L Goulet 13 Asselin Ave., Webster, MA 01570 Crane Operator 2018-05-12 ~ 2020-05-11
Cam's Oil Service Inc 3 Old Worcester Road, Webster, MA 01570 Operator of Weighing & Measuring Devices 2020-08-01 ~ 2021-07-31
Amy Michelle Williams 327 Thompson Rd., Webster, MA 01570 Registered Nurse ~
Lillian Le 1 Brianna Dr, Webster, MA 01570 Combination Nail Technician, Esthetician Or Eyelash Technici 2020-05-28 ~ 2021-06-30
Elaine M Ziemba 18 Stoughton Ave, Webster, MA 01570 Registered Nurse 2020-09-01 ~ 2021-08-31
Robert L Mason P.o. Box 791, Webster, MA 01570 Sub-surface Sewage Installer 2020-07-01 ~ 2021-06-30
Sally M Ceppetelli · Lomme 8 B Deerfield Dr West, Webster, MA 01570 Registered Nurse 2020-06-01 ~ 2021-05-31
Robin J Korch 808 Beacon Park, Webster, MA 01570 Registered Nurse 2020-06-01 ~ 2021-05-31
Patricia A Mclaughlin 31 Third St, Webster, MA 01570 Registered Nurse 2020-07-01 ~ 2021-06-30
Crystal Leigh Simonson 304 Treasure Island Road, Webster, MA 01570 Notary Public Appointment 2015-04-02 ~ 2020-04-30
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Competitor

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City WEBSTER
Zip Code 01570
License Type Physician/Surgeon
License Type + County Physician/Surgeon + WEBSTER

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Anand Srinivasan 43 Cedar Lane, Closter, NJ 07624 Physician/surgeon 2001-03-12 ~ 2001-10-31
Ashmitha Srinivasan 27 James P Kelly Way, Middletown, NY 10940 Physician/surgeon 2012-10-01 ~ 2013-09-30
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Shankar Srinivasan Md 4121 Town Walk Dr, Hamden, CT 06518 Physician/surgeon 2007-08-16 ~ 2008-06-30
Melukote K Srinivasan Salem Radiology, Salem, NH 03079 Physician/surgeon 2010-03-01 ~ 2011-02-28
Shantanu Lal 160 Riverside Blvd, New York, NY 10069 Dentist ~
Vaman B Kidambi 444 Bedford Street Apt 2 H, Stamford, CT 06901 Notary Public Appointment 2001-12-19 ~ 2006-12-31
Ramanatha Srinivasan 1815 Rte 313, Perkasie, PA 18944 Veterinarian 1993-01-25 ~ 1993-09-30

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Dataset Information

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).

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