| Name: | Birmingham Neurology, P.A. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Association |
| Status: | Dissolved |
| Date of registration: | 01 Sep 1978 (46 years ago) (Companies founded in September 1978) |
| Date of dissolution: | 01 Aug 2007 |
| Entity Number: | 000-052-669 |
| Register Number: | 000052669 |
| ZIP code: | 35211 (Companies in Jefferson, 35211) |
| County: | Jefferson |
| Place of Formation: | Jefferson County |
| Principal Address: | 801 PRINCETON AVENUE STE 217BIRMINGHAM, AL 35211 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1780732909 | 2007-01-05 | 2020-08-22 | 52 MEDICAL PARK DR E, BIRMINGHAM, AL, 352353430, US | 52 MEDICAL PARK DR E, BIRMINGHAM, AL, 352353430, US | |||||||||||||||||||
|
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| Phone | +1 205-838-3020 |
| Fax | 2058383548 |
Authorized person
| Name | TADASHI KUBA |
| Role | PRESIDENT |
| Phone | 2058383020 |
Taxonomy
| Taxonomy Code | 2084N0400X - Neurology Physician |
| License Number | 8041 |
| State | AL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| CHASTAIN, SAMUEL H | Member |
| KUBA, TADASHI MD | Member |
| REDDY, KRISHNA MD | Member |
Date of last update: 31 Jul 2024
Sources: Alabama Secretary of State
