| Name: | Digestive Disease Center, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Dissolved |
| Date of registration: | 31 Aug 1984 (40 years ago) |
| Date of dissolution: | 29 Nov 2018 |
| Entity Number: | 000-099-915 |
| Register Number: | 000099915 |
| Historical Names: |
Prasad and Rekha Vankineni, M.D., P.C.
Alabama Gastroenterology Associates, P.C. Alabama Gastroenterology Specialties, P.C. |
| County: | Madison |
| Place of Formation: | Madison County |
| Principal Address: | HUNTSVILLE, AL |
| Registered Office Street Address: | 420 LOWELL DRIVE, SE, SUITE 204HUNTSVILLE, AL 35801 |
| Registered Office Street Address ZIP Code: | 35801 |
| Registered Office Mailing Address: | PO BOX 4042HUNTSVILLE, AL 35815 |
| Registered Office Mailing Address ZIP Code: | 35815 |
| Authorized Capital: | $3,000 |
| Paid Share Capital: | $1,000 |
Activities
MEDICINE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1164580080 | 2006-12-04 | 2013-08-12 | 420 LOWELL DRIVE, SUITE 204, HUNTSVILLE, AL, 358013763, US | 420 LOWELL DRIVE, SUITE 204, HUNTSVILLE, AL, 358013763, US | |||||||||||||||||||||||||||||||||||
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| Phone | +1 256-536-9031 |
| Fax | 2565394240 |
Authorized person
| Name | PRASAD S VANKINENI |
| Role | PRESIDENT |
| Phone | 2565369031 |
Taxonomy
| Taxonomy Code | 207RG0100X - Gastroenterology Physician |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | P. VANKINENI'S NPI # |
| Number | 1700958873 |
| State | AL |
| Issuer | SURESH KARNE'S NPI # |
| Number | 1366534307 |
| State | AL |
| Issuer | MEDICAID |
| Number | 529910050 |
| State | AL |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DIGESTIVE DISEASE CENTER, P.C. RETIREMENT PLAN | 2016 | 630883227 | 2018-02-28 | DIGESTIVE DISEASE CENTER, P.C. | 1 | |||||||||||||||||||||||||||||
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| DIGESTIVE DISEASE CENTER, P.C. RETIREMENT PLAN | 2015 | 630883227 | 2017-08-31 | DIGESTIVE DISEASE CENTER, P.C. | 7 | |||||||||||||||||||||||||||||
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| DIGESTIVE DISEASE CENTER, P.C. RETIREMENT PLAN | 2009 | 630883227 | 2011-06-15 | DIGESTIVE DISEASE CENTER, P.C. | 18 | |||||||||||||||||||||||||||||
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| Administrator’s EIN | 630883227 |
| Plan administrator’s name | DIGESTIVE DISEASE CENTER, P.C. |
| Plan administrator’s address | 420 LOWELL DRIVE, S.E. SUITE 204, HUNTSVILLE, AL, 35801 |
| Administrator’s telephone number | 2565394105 |
Signature of
| Role | Plan administrator |
| Date | 2011-06-15 |
| Name of individual signing | KIMBERLY H. HUBBARD, CPA |
| Name | Role | Address |
|---|---|---|
| VANKINENI, PRASAD | Agent | 42 SAINT JAMES SQUAREHUNTSVILLE, AL 35801 |
| Name | Role |
|---|---|
| VANKINENI M D, PRASAD | Incorporator |
| Event Date | Event Type | Old Value | New Value |
|---|---|---|---|
| 2002-08-29 | Capital Change | $1,000 Authorized $1,000 Paid In | $3,000 Authorized $1,000 Paid In |
| 2001-01-22 | Name Change | Alabama Gastroenterology Specialties, P.C. | Digestive Disease Center, P.C. |
| 1986-07-23 | Name Change | Alabama Gastroenterology Associates, P.C. | Alabama Gastroenterology Specialties, P.C. |
| 1986-05-23 | Name Change | Prasad and Rekha Vankineni, M.D., P.C. | Alabama Gastroenterology Associates, P.C. |
Date of last update: 31 Jul 2024
Sources: Alabama Secretary of State
