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
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 | |||||||||||||||||||
|
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 |
Name | Role |
---|---|
KALENIAN, MARK H | Incorporator |
RAJASHEKHAR, VEENA | Incorporator |
Name | Role |
---|---|
KALENIAN, MARK H | Agent |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State