SURESH MAMIDALA (Credential# 565450) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2012. The license expiration date date is April 30, 2013. The license status is INACTIVE.
SURESH MAMIDALA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.047868. The credential type is physician/surgeon. The effective date is May 1, 2012. The expiration date is April 30, 2013. The business address is 1133 Midland Ave, Bronxville, NY 10708. The current status is inactive.
| Licensee Name | SURESH MAMIDALA |
| Credential ID | 565450 |
| Credential Number | 1.047868 |
| Credential Type | Physician/Surgeon |
| Business Address |
1133 Midland Ave Bronxville NY 10708 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 2009-06-30 |
| Effective Date | 2012-05-01 |
| Expiration Date | 2013-04-30 |
| Refresh Date | 2013-08-05 |
| Street Address | 1133 MIDLAND AVE |
| City | BRONXVILLE |
| State | NY |
| Zip Code | 10708 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Carmelita Reyes-montinola | 801 Bronx River Rd, Bronxville, NY 10708 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
| Hedieh Honarpisheh | 52 Howe Place, Bronxville, NY 10708 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Joshua Brandfonbrener | 9 Alden Place, Bronxville, NY 10708 | Architect | 2020-08-01 ~ 2021-07-31 |
| Ayako Takahata | 76a Oregon Ave, Bronxville, NY 10708 | Real Estate Salesperson | 2017-06-01 ~ 2018-05-31 |
| Anne H Angevine Md | 14 Westway, Bronxville, NY 10708 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Stephen Ryan Meyers | 4 Valley Road, Bronxville, NY 10708 | Real Estate Broker | 2019-04-01 ~ 2020-03-31 |
| Caroline S Beit | 11 White Plains Road, Bronxville, NY 10708 | Emergency Medical Technician | ~ |
| Philip J Overby Md | 133 Pondfield Road, Bronxville, NY 10708 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Anna Belman | 55 Palmer Avenue, Bronxville, NY 10708 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Michele L Rohr Md | 43 Greenfield Ave, Bronxville, NY 10708 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Find all Licenses in zip 10708 | |||
| City | BRONXVILLE |
| Zip Code | 10708 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + BRONXVILLE |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Suresh J Tanna | 5001 Statesman Dr, Irving, TX 75063-2414 | Physician/surgeon | ~ |
| Suresh K Gulati | 45 Calumet Rd, Winchester, MA 01890 | Physician/surgeon | 2012-10-01 ~ 2013-09-30 |
| Vinod Suresh | 551 Observer Hwy Apt 11d, Hoboken, NJ 07030-6563 | Physician/surgeon | 2020-06-22 ~ 2021-05-31 |
| Suresh Khanna | 11 Oxridge Rd, Elmsford, NY 10523 | Physician/surgeon | 2009-08-01 ~ 2010-07-31 |
| Padma Suresh | 10 Linmoor Terrace, Lexington, MA 02420 | Physician/surgeon | 2009-06-01 ~ 2010-06-30 |
| Suresh Mandava | 2046 W. Main St. Ste 2, Stamford, CT 06902 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Suresh S Shah Md | 7128 Ridgewood Dr, Lockport, NY 14094 | Physician/surgeon | 2006-01-10 ~ 2007-02-28 |
| Deepa Suresh | 5907 Lake St, Houston, TX 77005-3129 | Physician/surgeon | 2009-07-24 ~ 2010-05-31 |
| Suresh Kolli | 10701 East Blvd, Cleveland, OH 44106 | Physician/surgeon | 1990-03-23 ~ 1991-03-31 |
| Suresh K Agarwal | 2734 Lynn Terrace, Apt. #7, Madison, WI 53705 | Physician/surgeon | 2003-02-21 ~ 2004-02-29 |
Please comment or provide details below to improve the information on SURESH MAMIDALA.
| 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).