| Name: | Kamal K. Raisani, M.D., PC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Dissolved |
| Date of registration: | 10 Apr 2001 (24 years ago) (Companies founded in April 2001) |
| Date of dissolution: | 21 Dec 2021 |
| Entity Number: | 000-216-244 |
| Register Number: | 000216244 |
| ZIP code: | 35406 (Companies in Tuscaloosa, 35406) |
| County: | Tuscaloosa |
| Place of Formation: | Tuscaloosa County |
| Principal Address: | TUSCALOOSA, AL |
| Registered Office Street Address: | 1000 FAIRFAX PARKTUSCALOOSA, AL 35406 |
| Authorized Capital: | $1,000 |
Activities
PROVIDE MEDICAL/PHYSICIAN'S SERVICES
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1881622488 | 2006-06-30 | 2020-08-22 | 507 ENERGY CENTER BLVD, STE 305, NORTHPORT, AL, 35473, US | 507 ENERGY CENTER BLVD, STE 305, NORTHPORT, AL, 35473, US | |||||||||||||||||||
|
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| Phone | +1 205-556-7717 |
| Fax | 2055567717 |
Authorized person
| Name | DR. KAMAL K RAISANI |
| Role | DR. PSYCHAITRIST |
| Phone | 2055560014 |
Taxonomy
| Taxonomy Code | 2084P0800X - Psychiatry Physician |
| License Number | 21461 |
| State | AL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| RAISANI, KAMAL K | Agent |
| Name | Role |
|---|---|
| RAISANI, KAMAL K | Incorporator |
Date of last update: 01 Aug 2024
Sources: Alabama Secretary of State
