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