| Name: | Harshad Patel, MD, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Exists |
| Date of registration: | 20 Mar 1997 (28 years ago) |
| Entity Number: | 000-186-385 |
| Register Number: | 000186385 |
| County: | Etowah |
| Place of Formation: | Etowah County |
| Principal Address: | RAINBOW CITY, AL |
| Registered Office Street Address: | 207 E GRAND AVERAINBOW CITY, AL 35906 |
| Registered Office Street Address ZIP Code: | 35906 |
| Authorized Capital: | $100 |
| Paid Share Capital: | $100 |
Activities
ANY LAWFUL ACTIVITY
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1659416303 | 2007-02-20 | 2008-07-14 | 207 EAST GRAND AVE, RAINBOW CITY, AL, 359066218, US | 207 EAST GRAND AVE, RAINBOW CITY, AL, 359066218, US | |||||||||||||||||||||||||||||||
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| Phone | +1 256-413-1333 |
| Fax | 2564130078 |
Authorized person
| Name | DR. HARSHAD PATEL |
| Role | PHYSICIAN |
| Phone | 2564131333 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| License Number | 20610 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 000032301 |
| State | AL |
| Issuer | BCBS |
| Number | 51032301 |
| State | AL |
| Name | Role | Address |
|---|---|---|
| PATEL, HARSHAD | Incorporator | 15 JAY CTBOHEMIA, NY 11716 |
| Name | Role | Address |
|---|---|---|
| PATEL, HARSHAD | Agent | 15 JAY CTBOHEMIA, NY 11716 |
Date of last update: 01 Aug 2024
Sources: Alabama Secretary of State
