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MEGHANI MEDICAL, P.C.

Details

Name: MEGHANI MEDICAL, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Merged
Date of registration: 12 Jul 2004 (20 years ago) (Companies founded in July 2004)
Entity Number: 000-236-353
Register Number: 000236353
ZIP code: 36301 (Companies in Houston, 36301)
County: Houston
Place of Formation: Houston County
Principal Address: DOTHAN, AL
Registered Office Street Address: 103 W SOUTHPORT STDOTHAN, AL 36301
Authorized Capital: $1,000

Activities PSYCHIATRY MEDICINE PRACTICE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1215005616 2006-12-01 2020-08-22 1865 HONEYSUCKLE RD, SUITE 3, DOTHAN, AL, 363054286, US 1865 HONEYSUCKLE RD, SUITE 3, DOTHAN, AL, 363054286, US

Contacts

Phone +1 334-699-2270

Authorized person

Name SHAKIR MEGHANI
Role OWNDER
Phone 3347121170

Taxonomy

Taxonomy Code 2084N0400X - Neurology Physician
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MEGHANI MEDICAL, P.C. RETIREMENT PLAN 2011 201741284 2012-10-31 MEGHANI MEDICAL, P.C. 27
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-10-01
Business code 621111
Sponsor’s telephone number 3347121170
Plan sponsor’s address 1841 HONEYSUCKLE ROAD, DOTHAN, AL, 36305

Plan administrator’s name and address

Administrator’s EIN 201741284
Plan administrator’s name MEGHANI MEDICAL, P.C.
Plan administrator’s address 1841 HONEYSUCKLE ROAD, DOTHAN, AL, 36305
Administrator’s telephone number 3347121170

Signature of

Role Plan administrator
Date 2012-10-31
Name of individual signing SHAKIR MEGHANI, M.D.
MEGHANI MEDICAL, P.C. RETIREMENT PLAN 2011 201741284 2012-04-10 MEGHANI MEDICAL, P.C. 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-10-01
Business code 621111
Sponsor’s telephone number 3347121170
Plan sponsor’s address 1841 HONEYSUCKLE ROAD, DOTHAN, AL, 36305

Plan administrator’s name and address

Administrator’s EIN 201741284
Plan administrator’s name MEGHANI MEDICAL, P.C.
Plan administrator’s address 1841 HONEYSUCKLE ROAD, DOTHAN, AL, 36305
Administrator’s telephone number 3347121170

Signature of

Role Plan administrator
Date 2012-04-10
Name of individual signing SHAKIR MEGHANI, M.D.
MEGHANI MEDICAL, P.C. RETIREMENT PLAN 2010 201741284 2011-06-16 MEGHANI MEDICAL, P.C. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-10-01
Business code 621111
Sponsor’s telephone number 3347121170
Plan sponsor’s address 1841 HONEYSUCKLE ROAD, DOTHAN, AL, 36305

Plan administrator’s name and address

Administrator’s EIN 201741284
Plan administrator’s name MEGHANI MEDICAL, P.C.
Plan administrator’s address 1841 HONEYSUCKLE ROAD, DOTHAN, AL, 36305
Administrator’s telephone number 3347121170

Signature of

Role Plan administrator
Date 2011-06-16
Name of individual signing SHAKIR MEGHANI, M.D.

Agent

Name Role
MEGHANI, MUSTAFAIN Agent

Incorporator

Name Role
CONAWAY, J MICHAEL Incorporator

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State