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Karassi Endocrinology and Internal Medicine, P.C.

Details

Name: Karassi Endocrinology and Internal Medicine, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 05 Jul 2001 (23 years ago)
Entity Number: 000-217-716
Register Number: 000217716
County: Jefferson
Place of Formation: Jefferson County
Registered Office Street Address: 817 PRINCETON AVE SWBIRMINGHAM, AL 35211
Registered Office Street Address ZIP Code: 35211
Registered Office Mailing Address: POB #2 STE 118BIRMINGHAM, AL 35211
Registered Office Mailing Address ZIP Code: 35211
Authorized Capital: $1,000

Activities ENDOCRINOLOGY/INTERNAL MEDICINE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1346589991 2013-02-01 2013-02-01 PO BOX 43039, BIRMINGHAM, AL, 352430039, US 817 PRINCETON AVE SW, SUITE 308, BIRMINGHAM, AL, 352111333, US

Contacts

Phone +1 205-787-2669
Fax 2057872865

Authorized person

Name TINA S WIDEMAN
Role OFFICE MANAGER
Phone 2057872669

Taxonomy

Taxonomy Code 207RE0101X - Endocrinology, Diabetes & Metabolism Physician
Is Primary Yes

Agent

Name Role
KARASSI, MALEK Agent

Incorporator

Name Role
KARASSI, MALEK Incorporator

Date of last update: 01 Aug 2024

Sources: Alabama Secretary of State