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Ramann Nallamala, MD PC

Details

Name: Ramann Nallamala, MD PC
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 04 Jan 2007 (18 years ago) (Companies founded in January 2007)
Entity Number: 000-250-514
Register Number: 000250514
ZIP code: 35801 (Companies in Madison, 35801)
County: Madison
Place of Formation: Madison County
Registered Office Street Address: 420 LOWELL AVE STE 100HUNTSVILLE, AL 35801
Principal Address: HUNTSVILLE, AL
Authorized Capital: $1,000

Activities MEDICAL PRACTICE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1063615391 2007-06-06 2024-01-21 420 LOWELL DR SE STE 100, HUNTSVILLE, AL, 358013755, US 420 LOWELL DR SE, SUITE 103, HUNTSVILLLE, AL, 35801, US

Contacts
Phone +1 256-535-5992
Fax 8442135223
Phone +1 256-535-5940
Fax 2565355995

Authorized person
Name RAMANN NALLAMALA
Role PRESIDENT
Phone 2565355992

Taxonomy
Taxonomy Code 207R00000X - Internal Medicine Physician
State AL
Is Primary Yes

Other Provider Identifiers
Issuer MEDICAID
Number 051509140
State AL
Issuer BLUE CROSS & BLUE SHIELD
Number 51541552
State AL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
RAMANN NALLAMALA, MD, PC 401(K) PLAN 2023 208163201 2024-06-05 RAMANN NALLAMALA, MD, PC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-03
Business code 621111
Sponsor’s telephone number 2565355992
Plan sponsor’s address 420 LOWELL DRIVE SE, STE 100, HUNTSVILLE, AL, 35801
RAMANN NALLAMALA, MD, PC EMPLOYEES' RETIREMENT PLAN 2023 208163201 2024-10-05 RAMANN NALLAMALA, MD, PC 2
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2021-01-01
Business code 621112
Sponsor’s telephone number 2565355992
Plan sponsor’s address 420 LOWELL DRIVE SE, STE 100, HUNTSVILLE, AL, 35801
RAMANN NALLAMALA, MD, PC EMPLOYEES' RETIREMENT PLAN 2022 208163201 2023-10-07 RAMANN NALLAMALA, MD, PC 2
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2021-01-01
Business code 621112
Sponsor’s telephone number 2565355992
Plan sponsor’s address 420 LOWELL DRIVE SE, STE 100, HUNTSVILLE, AL, 35801
RAMANN NALLAMALA, MD, PC 401(K) PLAN 2022 208163201 2023-03-14 RAMANN NALLAMALA, MD, PC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-03
Business code 621111
Sponsor’s telephone number 2565355992
Plan sponsor’s address 420 LOWELL DRIVE SE, STE 100, HUNTSVILLE, AL, 35801
RAMANN NALLAMALA, MD, PC EMPLOYEES' RETIREMENT PLAN 2021 208163201 2022-09-15 RAMANN NALLAMALA, MD, PC 0
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2021-01-01
Business code 621112
Sponsor’s telephone number 2565355992
Plan sponsor’s address 420 LOWELL DRIVE SE, STE 100, HUNTSVILLE, AL, 35801
RAMANN NALLAMALA, MD, PC 401 K PLAN 2021 208163201 2022-11-10 RAMANN NALLAMALA, MD, PC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-03
Business code 621111
Sponsor’s telephone number 2565355992
Plan sponsor’s address 420 LOWELL DRIVE SE, SUITE 100, HUNTSVILLE, AL, 35801

Signature of
Role Plan administrator
Date 2022-11-10
Name of individual signing RAMANN NALLAMALA, MD
RAMANN NALLAMALA, MD, PC 401 K PLAN 2021 208163201 2022-10-11 RAMANN NALLAMALA, MD, PC 4
Three-digit plan number (PN) 001
Effective date of plan 2004-01-03
Business code 621111
Sponsor’s telephone number 2565355992
Plan sponsor’s address 420 LOWELL DRIVE SE, SUITE 100, HUNTSVILLE, AL, 35801

Signature of
Role Plan administrator
Date 2022-10-11
Name of individual signing RAMANN NALLAMALA, MD
RAMANN NALLAMALA, MD, PC 401 K PLAN 2020 208163201 2022-11-15 RAMANN NALLAMALA, MD, PC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-03
Business code 621111
Sponsor’s telephone number 2565355992
Plan sponsor’s address 420 LOWELL DRIVE SE, SUITE 100, HUNTSVILLE, AL, 35801

Signature of
Role Plan administrator
Date 2022-11-15
Name of individual signing RAMANN NALLAMALA, MD
RAMANN NALLAMALA, MD, PC 401 K PLAN 2020 208163201 2021-08-19 RAMANN NALLAMALA, MD, PC 4
Three-digit plan number (PN) 001
Effective date of plan 2004-01-03
Business code 621111
Sponsor’s telephone number 2565355992
Plan sponsor’s address 420 LOWELL DRIVE SE, SUITE 100, HUNTSVILLE, AL, 35801
RAMANN NALLAMALA, MD, PC 401 K PLAN 2019 208163201 2020-08-18 RAMANN NALLAMALA, MD, PC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-03
Business code 621111
Sponsor’s telephone number 2565355992
Plan sponsor’s address 420 LOWELL DRIVE SE, SUITE 100, HUNTSVILLE, AL, 35801

Agent

Name Role Address
NALLAMALA, RAMANN Agent 420 LOWELL DRIVE SUITE 100HUNTSVILLE, AL 35801

Incorporator

Name Role Address
NALLAMALA, RAMANN Incorporator 420 LOWELL DRIVE SUITE 100HUNTSVILLE, AL 35801

Related by officers

NALLAMALA, RAMANN

Tennessee Valley IPA, LLC S & F Investment, LLC Nallamala Properties, L.L.C.

Related by address

HUNTSVILLE, AL

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Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State

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