| Name: | Khalid L. Khan, M.D., P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Dissolved |
| Date of registration: | 27 May 1999 (25 years ago) (Companies founded in May 1999) |
| Date of dissolution: | 15 Feb 2018 |
| Entity Number: | 000-203-015 |
| Register Number: | 000203015 |
| ZIP code: | 35160 (Companies in Talladega, 35160) |
| County: | Talladega |
| Place of Formation: | Talladega County |
| Principal Address: | TALLADEGA, AL |
| Registered Office Street Address: | 216 EAST BATTLE STTALLADEGA, AL 35160 |
| Authorized Capital: | $10 |
Activities
ENGAGE IN PRACTICE OF OPHTHALMOLOGY/RELATED SERVICES
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1881747558 | 2007-01-18 | 2013-09-27 | 216 BATTLE ST E, SUITE A, TALLADEGA, AL, 351602420, US | 216 BATTLE ST E, SUITE A, TALLADEGA, AL, 351602420, US | |||||||||||||||||||||
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| Phone | +1 256-362-1590 |
| Fax | 2563621540 |
Authorized person
| Name | DR. KHALID L. KHAN |
| Role | OWNER |
| Phone | 2563621590 |
Taxonomy
| Taxonomy Code | 207W00000X - Ophthalmology Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 000043391 |
| State | AL |
| Name | Role |
|---|---|
| KHAN, KHALID L | Agent |
| Name | Role | Address |
|---|---|---|
| RINGELSTEIN, DAVID B II | Incorporator | 1901 SIXTH AVENUE NORTH, SUITE 1500BIRMINGHAM, AL 35203 |
Date of last update: 01 Aug 2024
Sources: Alabama Secretary of State
