| Name: | Alabama Pulmonary & Critical Care, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Dissolved |
| Date of registration: | 18 Oct 2001 (23 years ago) |
| Date of dissolution: | 01 Dec 2016 |
| Entity Number: | 000-219-363 |
| Register Number: | 000219363 |
| County: | Montgomery |
| Place of Formation: | Montgomery County |
| Principal Address: | MONTGOMERY, AL |
| Registered Office Street Address: | 8230 OLD FEDERAL RDMONTGOMERY, AL 36117 |
| Registered Office Street Address ZIP Code: | 36117 |
| Authorized Capital: | $1,000 |
Activities
PRACTICE MEDICINE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1912978792 | 2006-01-30 | 2020-08-22 | 1722 PINE ST, SUITE 406, MONTGOMERY, AL, 361061103, US | 1722 PINE ST, SUITE 406, MONTGOMERY, AL, 361061103, US | |||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||
| Phone | +1 334-834-5152 |
| Fax | 3348345167 |
Authorized person
| Name | STEPHANIE TRAYWICK |
| Role | OFFICE MANAGER |
| Phone | 3348345152 |
Taxonomy
| Taxonomy Code | 207RC0200X - Critical Care Medicine (Internal Medicine) Physician |
| License Number | 20155 |
| State | AL |
| Is Primary | No |
| Taxonomy Code | 207RP1001X - Pulmonary Disease Physician |
| License Number | 20155 |
| State | AL |
| Is Primary | No |
Other Provider Identifiers
| Issuer | BCBS |
| Number | 515-05275 |
| State | AL |
| Name | Role |
|---|---|
| BAJAJ, AKSHAY K | Agent |
| Name | Role |
|---|---|
| BAJAJ, AKSHAY K | Incorporator |
Date of last update: 01 Aug 2024
Sources: Alabama Secretary of State
