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G.S. Rao, M.D., P.C.

Details

Name: G.S. Rao, M.D., P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 08 Sep 1999 (25 years ago)
Entity Number: 000-204-935
Register Number: 000204935
County: Madison
Place of Formation: Madison County
Principal Address: HUNTSVILLE, AL
Registered Office Street Address: 1425 WEATHERLY RDHUNTSVILLE, AL 35803
Registered Office Street Address ZIP Code: 35803
Authorized Capital: $1,000

Activities PRACTICE INTERNAL MEDICINE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1114263746 2013-01-01 2019-11-19 1425 WEATHERLY RD SE, HUNTSVILLE, AL, 358031178, US 1425 WEATHERLY RD SE, HUNTSVILLE, AL, 358031178, US

Contacts

Phone +1 256-881-1111

Authorized person

Name DR. GORANTLA S RAO
Role OWNER
Phone 2568811111

Taxonomy

Taxonomy Code 261Q00000X - Clinic/Center
License Number 8243
State AL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
G. S. RAO, M.D., P.C. 401(K) PLAN 2011 631233144 2012-10-01 G. S. RAO, M.D., P.C. 9
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 2568811111
Plan sponsor’s address 1425 WEATHERLY ROAD, HUNTSVILLE, AL, 35803

Plan administrator’s name and address

Administrator’s EIN 631233144
Plan administrator’s name G. S. RAO, M.D., P.C.
Plan administrator’s address 1425 WEATHERLY ROAD, HUNTSVILLE, AL, 35803
Administrator’s telephone number 2568811111

Signature of

Role Plan administrator
Date 2012-09-28
Name of individual signing G S RAO

Agent

Name Role Address
RAO, G S Agent 1242 DEBORAH DRIVEHUNTSVILLE, AL 35801

Incorporator

Name Role Address
RAO, G S Incorporator 1242 DEBORAH DRIVEHUNTSVILLE, AL 35801

Date of last update: 01 Aug 2024

Sources: Alabama Secretary of State