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Harshad Patel, MD, P.C.

Details

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

National Provider Identifier

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

Contacts

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

Incorporator

Name Role Address
PATEL, HARSHAD Incorporator 15 JAY CTBOHEMIA, NY 11716

Agent

Name Role Address
PATEL, HARSHAD Agent 15 JAY CTBOHEMIA, NY 11716

Date of last update: 01 Aug 2024

Sources: Alabama Secretary of State