RADHIKA KHWAJA MD (Credential# 972203) 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.
RADHIKA KHWAJA MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.049404. The credential type is physician/surgeon. The effective date is May 1, 2020. The expiration date is April 30, 2021. The business address is 3314 Rolling Hill Rd, Durham, NC 27705-5544. The current status is active.
| Licensee Name | RADHIKA KHWAJA MD |
| Credential ID | 972203 |
| Credential Number | 1.049404 |
| Credential Type | Physician/Surgeon |
| Business Address |
3314 Rolling Hill Rd Durham NC 27705-5544 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2010-12-21 |
| Effective Date | 2020-05-01 |
| Expiration Date | 2021-04-30 |
| Refresh Date | 2020-06-11 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 981000 | CSP.0049525 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2011-01-19 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 3314 ROLLING HILL RD |
| City | DURHAM |
| State | NC |
| Zip Code | 27705-5544 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Marigny Manson Bratcher | 1509 Rowemont Dr, Durham, NC 27705 | Registered Nurse | 2020-06-01 ~ 2021-06-30 |
| Mayrillane Jackie Bahi | 114 Morcroft Ln, Durham, NC 27705 | Certified Public Accountant Certificate | 2020-01-01 ~ 2020-12-31 |
| Preeti Manavalan | 2530 Erwin Road, Durham, NC 27705 | Physician/surgeon | 2018-05-01 ~ 2019-04-30 |
| Mark David Friedland | 2610 Erwin Rd Unit 318, Durham, NC 27705 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Mary L Alexander | 814 Sedgefield Street, Durham, NC 27705 | Pharmacist | 2016-02-01 ~ 2018-01-31 |
| Scott J Kowalczyk | 101 Tannenbaum St., Durham, NC 27705 | Registered Nurse | 2017-05-01 ~ 2018-04-30 |
| Emily Tangwar | 504 White Pine Drive, Durham, NC 27705 | Registered Nurse | 2015-05-29 ~ 2015-12-31 |
| Lynn M Cardile | 10 Bogie Court, Durham, NC 27705 | Registered Nurse | 2014-11-01 ~ 2015-10-31 |
| Betty M Greene | 1014 Oakland Ave, Durham, NC 27705 | Hairdresser/cosmetician | 2012-11-01 ~ 2014-10-31 |
| Brooke G Robinson | 2313 Wilson St, Durham, CT 27705 | Speech and Language Pathologist | 2010-08-01 ~ 2011-07-31 |
| Find all Licenses in zip 27705 | |||
| City | DURHAM |
| Zip Code | 27705 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + DURHAM |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Radhika Siriki | 37 Carrington Dr, Greenwich, CT 06831-3119 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Radhika Mathur Md | 267 Grant St, Bridgeport, CT 06610 | Physician/surgeon | 2009-01-05 ~ 2010-02-28 |
| Radhika Malhotra | 494 Dogwood Road, Orange, CT 06477 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Radhika S Datar | 5520 Park Ave, Trumbull, CT 06611-3466 | Physician/surgeon | 2020-04-01 ~ 2021-03-31 |
| Radhika Vijayan | 780 Flushing Avenue, Brooklyn, NY 11206 | Physician/surgeon | 1983-12-20 ~ 1988-07-31 |
| Radhika R Hariharan | 1082 Racebrook Road, Woodbridge, CT 06525 | Physician/surgeon | ~ 1997-07-31 |
| Radhika Koneru | 1512 N River West Ct Apt 2b, Mount Prospect, IL 60056-1781 | Physician/surgeon | 2011-06-30 ~ 2012-04-30 |
| Radhika B Kulkarni | 263 Farmington Ave, Farmington, CT 06030-0001 | Resident Physician | 2019-06-28 ~ 2022-06-30 |
| Khwaja J Zakriya Md | 156 Burke St, East Hartford, CT 06118 | Controlled Substance Registration for Practitioner | 2000-02-29 ~ 2001-02-28 |
| Radhika Nagineni | 6 Rosecliff, Farmington, CT 06032 | Pharmacist | 2020-02-01 ~ 2022-01-31 |
Please comment or provide details below to improve the information on RADHIKA KHWAJA MD.
| 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).