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Dothan-Hypertension Nephrology Associates, P.C.

Details

Name: Dothan-Hypertension Nephrology Associates, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 17 Sep 1991 (33 years ago)
Entity Number: 000-145-265
Register Number: 000145265
County: Houston
Place of Formation: Houston County
Principal Address: DOTHAN, AL
Registered Office Street Address: 1511 E MAIN STDOTHAN, AL 36301
Registered Office Street Address ZIP Code: 36301
Authorized Capital: 5 NPV

Activities PRACTICE MEDICINE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1013018407 2006-09-26 2011-03-08 207 HAVEN DRIVE, DOTHAN, AL, 36301, US 207 HAVEN DR, DOTHAN, AL, 363012919, US

Contacts
Phone +1 334-793-3319
Fax 3347932291

Authorized person
Name DR. GANJUR PRAKASH
Role OWNER
Phone 3347933319

Taxonomy
Taxonomy Code 174400000X - Specialist
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
DOTHAN HYPERTENSION NEPHROLOGY ASSOCIATES, P.C. PROFIT SHARING PLAN 2023 631051045 2024-04-09 DOTHAN HYPERTENSION NEPHROLOGY ASSOCIATES, P.C. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 3347933319
Plan sponsor’s address 207 HAVEN DRIVE, DOTHAN, AL, 36301

Signature of
Role Plan administrator
Date 2024-04-08
Name of individual signing GREGORY M WELLS
Role Employer/plan sponsor
Date 2024-04-08
Name of individual signing GREGORY M WELLS
DOTHAN HYPERTENSION NEPHROLOGY ASSOCIATES, P.C. PROFIT SHARING PLAN 2022 631051045 2023-04-03 DOTHAN HYPERTENSION NEPHROLOGY ASSOCIATES, P.C. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 3347933319
Plan sponsor’s address 207 HAVEN DRIVE, DOTHAN, AL, 36301

Signature of
Role Plan administrator
Date 2023-04-03
Name of individual signing GREGORY M WELLS
Role Employer/plan sponsor
Date 2023-04-03
Name of individual signing GREGORY M WELLS
DOTHAN HYPERTENSION NEPHROLOGY ASSOCIATES, P.C. PROFIT SHARING PLAN 2021 631051045 2022-03-29 DOTHAN HYPERTENSION NEPHROLOGY ASSOCIATES, P.C. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 3347933319
Plan sponsor’s address 207 HAVEN DRIVE, DOTHAN, AL, 36301

Signature of
Role Plan administrator
Date 2022-03-29
Name of individual signing GREGORY M WELLS
Role Employer/plan sponsor
Date 2022-03-29
Name of individual signing GREGORY M WELLS
DOTHAN HYPERTENSION NEPHROLOGY ASSOCIATES, P.C. PROFIT SHARING PLAN 2020 631051045 2021-04-28 DOTHAN HYPERTENSION NEPHROLOGY ASSOCIATES, P.C. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 3347933319
Plan sponsor’s address 207 HAVEN DRIVE, DOTHAN, AL, 36301

Signature of
Role Plan administrator
Date 2021-04-28
Name of individual signing GREGORY M WELLS
Role Employer/plan sponsor
Date 2021-04-28
Name of individual signing GREGORY M WELLS
DOTHAN HYPERTENSION NEPHROLOGY ASSOCIATES, P.C. PROFIT SHARING PLAN 2019 631051045 2020-03-03 DOTHAN HYPERTENSION NEPHROLOGY ASSOCIATES, P.C. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 3347933319
Plan sponsor’s address 207 HAVEN DRIVE, DOTHAN, AL, 36301

Signature of
Role Plan administrator
Date 2020-03-03
Name of individual signing GREGORY M WELLS
Role Employer/plan sponsor
Date 2020-03-03
Name of individual signing GREGORY M WELLS
DOTHAN HYPERTENSION NEPHROLOGY ASSOCIATES, P.C. PROFIT SHARING PLAN 2018 631051045 2019-04-05 DOTHAN HYPERTENSION NEPHROLOGY ASSOCIATES, P.C. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 3347933319
Plan sponsor’s address 207 HAVEN DRIVE, DOTHAN, AL, 36301

Signature of
Role Plan administrator
Date 2019-04-05
Name of individual signing GREGORY M WELLS
Role Employer/plan sponsor
Date 2019-04-05
Name of individual signing GREGORY M WELLS
DOTHAN HYPERTENSION NEPHROLOGY ASSOCIATES, P.C. PROFIT SHARING PLAN 2017 631051045 2018-05-03 DOTHAN HYPERTENSION NEPHROLOGY ASSOCIATES, P.C. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 3347933319
Plan sponsor’s address 207 HAVEN DRIVE, DOTHAN, AL, 36301

Signature of
Role Plan administrator
Date 2018-05-03
Name of individual signing GREGORY M WELLS
Role Employer/plan sponsor
Date 2018-05-03
Name of individual signing GREGORY M WELLS
DOTHAN HYPERTENSION NEPHROLOGY ASSOCIATES, P.C. PROFIT SHARING PLAN 2016 631051045 2017-05-18 DOTHAN HYPERTENSION NEPHROLOGY ASSOCIATES, P.C. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 3347933319
Plan sponsor’s address 207 HAVEN DRIVE, DOTHAN, AL, 36301

Signature of
Role Plan administrator
Date 2017-05-18
Name of individual signing GREGORY M WELLS
DOTHAN HYPERTENSION NEPHROLOGY ASSOCIATES, P.C. PROFIT SHARING PLAN 2015 631051045 2016-07-25 DOTHAN HYPERTENSION NEPHROLOGY ASSOCIATES, P.C. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 3347933319
Plan sponsor’s address 207 HAVEN DRIVE, DOTHAN, AL, 36301

Signature of
Role Plan administrator
Date 2016-07-25
Name of individual signing GREGORY M WELLS
DOTHAN HYPERTENSION NEPHROLOGY ASSOCIATES, P.C. PROFIT SHARING PLAN 2014 631051045 2015-04-02 DOTHAN HYPERTENSION NEPHROLOGY ASSOCIATES, P.C. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 3347933319
Plan sponsor’s address 207 HAVEN DRIVE, DOTHAN, AL, 36301

Signature of
Role Plan administrator
Date 2015-04-02
Name of individual signing GREGORY M WELLS

Incorporator

Name Role
PRAKASH, GURU MD Incorporator

Agent

Name Role
PRAKASH M D, GURU Agent

Related by officers

No related officers

Related by address

DOTHAN, AL

A & M Electrical Construction Co., Inc. Acme Auction Company of Dothan, Inc. Acme Lease-A-Car, Inc. Acme Roofing and Sheet Metal Company, Inc. Adams Foods, Inc. Adams Trading Center Alabama Electric Company, Inc. of Dothan Art & Craft Hut, Inc. Southeastern Cabinet Co., Inc. Auto Electric Company of Alabama, Incorporated

Date of last update: 01 Aug 2024

Sources: Alabama Secretary of State

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