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Alabama Asthma & Allergy, P.C.

Details

Name: Alabama Asthma & Allergy, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 13 May 2002 (23 years ago)
Entity Number: 000-222-912
Register Number: 000222912
County: Houston
Place of Formation: Houston County
Principal Address: DOTHAN, AL
Registered Office Street Address: 1836 WEST MAIN STDOTHAN, AL 36303
Registered Office Street Address ZIP Code: 36303
Authorized Capital: $1,200

Activities PRACTICE ALLERGY MEDICINE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1023170461 2006-12-14 2013-02-04 520 JOHN D. ODOM RD., DOTHAN, AL, 363039461, US 520 JOHN D. ODOM RD., DOTHAN, AL, 363039461, US

Contacts

Phone +1 334-794-2718
Fax 3346711905

Authorized person

Name DR. MARK H KALENIAN
Role PRESIDENT
Phone 3347942718

Taxonomy

Taxonomy Code 207K00000X - Allergy & Immunology Physician
License Number 16176
State AL
Is Primary Yes

Incorporator

Name Role
KALENIAN, MARK H Incorporator
RAJASHEKHAR, VEENA Incorporator

Agent

Name Role
KALENIAN, MARK H Agent

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State