| Name: | Gastroenterology Specialists of Birmingham, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Dissolved |
| Date of registration: | 01 Aug 1978 (46 years ago) |
| Date of dissolution: | 31 Jan 2018 |
| Entity Number: | 000-052-396 |
| Register Number: | 000052396 |
| Historical Names: |
Subhash C. Bajaj, M.D., P.C.
Bajaj & Malik, M.D., P.C. Bajaj, Malik & Mehra, M.D., P.C. Malik & Mehra, M.D., P.C. Birmingham Gastroenterology Specialists, P.C. |
| County: | Jefferson |
| Place of Formation: | Jefferson County |
| Registered Office Street Address: | 100 PILOT MEDICAL DR STE 225BIRMINGHAM, AL 35235 |
| Registered Office Street Address ZIP Code: | 35235 |
| Authorized Capital: | $10,000 |
| Paid Share Capital: | $1,000 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1477511467 | 2006-05-02 | 2013-04-04 | 100 PILOT MEDICAL DR, STE 225, BIRMINGHAM, AL, 352353467, US | 100 PILOT MEDICAL DR, STE 225, BIRMINGHAM, AL, 352353467, US | |||||||||||||||||||||||||||
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| Phone | +1 205-854-8404 |
| Fax | 2058544302 |
Authorized person
| Name | RITA MEHRA |
| Role | OFFICE MANAGER |
| Phone | 2058548404 |
Taxonomy
| Taxonomy Code | 207RG0100X - Gastroenterology Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 529302210 |
| State | AL |
| Issuer | GASTROENTEROLOGY SPECIALISTS OF BIRMINGHAM, P.C. |
| Number | 1477511467 |
| State | AL |
| Name | Role | Address |
|---|---|---|
| BAJAJ, SUBHASH C | Agent | 5014 APPLECROSS RDBIRMINGHAM, AL 35242 |
| Name | Role |
|---|---|
| BAJAJ, SUBHASH C MD | Incorporator |
| Event Date | Event Type | Old Value | New Value |
|---|---|---|---|
| 2012-02-01 | Name Change | Birmingham Gastroenterology Specialists, P.C. | Gastroenterology Specialists of Birmingham, P.C. |
| 2011-02-16 | Name Change | Malik & Mehra, M.D., P.C. | Birmingham Gastroenterology Specialists, P.C. |
| 2009-09-23 | Name Change | Bajaj, Malik & Mehra, M.D., P.C. | Malik & Mehra, M.D., P.C. |
| 2008-04-16 | Name Change | Bajaj & Malik, M.D., P.C. | Bajaj, Malik & Mehra, M.D., P.C. |
| 1995-12-15 | Name Change | Subhash C. Bajaj, M.D., P.C. | Bajaj & Malik, M.D., P.C. |
Date of last update: 31 Jul 2024
Sources: Alabama Secretary of State
