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Medical Pain Management, P.C.

Details

Name: Medical Pain Management, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Dissolved
Date of registration: 09 Dec 2008 (16 years ago) (Companies founded in December 2008)
Date of dissolution: 10 Apr 2018
Entity Number: 000-259-392
Register Number: 000259392
ZIP code: 36207 (Companies in Calhoun, 36207)
County: Calhoun
Place of Formation: Calhoun County
Principal Address: ANNISTON, AL
Registered Office Street Address: 701 LEIGHTON AVEANNISTON, AL 36207
Authorized Capital: $10

Activities MEDICAL PRACTICE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1558506881 2008-12-16 2008-12-16 PO BOX 1738, ANNISTON, AL, 362021738, US 701 LEIGHTON AVENUE, ANNISTON, AL, 352075745, US

Contacts

Phone +1 256-231-1231
Fax 2562311232

Authorized person

Name DR. SHAILESH P UPADHYAY
Role PRESIDENT
Phone 2562311231

Taxonomy

Taxonomy Code 207LP2900X - Pain Medicine (Anesthesiology) Physician
License Number 9218
State AL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MEDICAL PAIN MANAGEMENT, P.C. CASH BALANCE PLAN 2019 263840980 2020-03-17 MEDICAL PAIN MANAGEMENT, P.C. 9
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 2058908947
Plan sponsor’s address P.O. BOX 1738, ANNISTON, AL, 36202
MEDICAL PAIN MANAGEMENT, P.C. CASH BALANCE PLAN 2017 263840980 2020-03-17 MEDICAL PAIN MANAGEMENT, P.C. 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 2058908947
Plan sponsor’s address P.O. BOX 1738, ANNISTON, AL, 36202
MEDICAL PAIN MANAGEMENT, P.C. CASH BALANCE PLAN 2017 263840980 2018-07-19 MEDICAL PAIN MANAGEMENT, P.C. 7
Three-digit plan number (PN) 002
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 2058908947
Plan sponsor’s address P.O. BOX 1738, ANNISTON, AL, 36202
MEDICAL PAIN MANAGEMENT, P.C. 401(K) PLAN 2017 263840980 2018-07-19 MEDICAL PAIN MANAGEMENT, P.C. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 2058908947
Plan sponsor’s address P.O. BOX 1738, ANNISTON, AL, 36202
MEDICAL PAIN MANAGEMENT, P.C. CASH BALANCE PLAN 2016 263840980 2017-10-10 MEDICAL PAIN MANAGEMENT, P.C. 9
Three-digit plan number (PN) 002
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 2058908947
Plan sponsor’s address P.O. BOX 1738, ANNISTON, AL, 36202
MEDICAL PAIN MANAGEMENT, P.C. CASH BALANCE PLAN 2016 263840980 2020-03-17 MEDICAL PAIN MANAGEMENT, P.C. 9
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 2058908947
Plan sponsor’s address P.O. BOX 1738, ANNISTON, AL, 36202
MEDICAL PAIN MANAGEMENT, P.C. 401(K) PLAN 2016 263840980 2017-10-10 MEDICAL PAIN MANAGEMENT, P.C. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 2058908947
Plan sponsor’s address P.O. BOX 1738, ANNISTON, AL, 36202
MEDICAL PAIN MANAGEMENT, P.C. 401(K) PLAN 2015 263840980 2016-06-15 MEDICAL PAIN MANAGEMENT, P.C. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 2058908947
Plan sponsor’s address P.O. BOX 1738, ANNISTON, AL, 36202

Signature of

Role Plan administrator
Date 2016-06-15
Name of individual signing SHAILESH UPADHYAY
MEDICAL PAIN MANAGEMENT, P.C. CASH BALANCE PLAN 2015 263840980 2016-10-03 MEDICAL PAIN MANAGEMENT, P.C. 9
Three-digit plan number (PN) 002
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 2058908947
Plan sponsor’s address P.O. BOX 1738, ANNISTON, AL, 36202
MEDICAL PAIN MANAGEMENT, P.C. 401(K) PLAN 2014 263840980 2015-10-14 MEDICAL PAIN MANAGEMENT, P.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 621111
Sponsor’s telephone number 2058908947
Plan sponsor’s address P.O. BOX 1738, ANNISTON, AL, 36202

Signature of

Role Plan administrator
Date 2015-10-14
Name of individual signing SHAILESH UPADHYAY

Agent

Name Role
UPADHYAY, SHAILESH Agent

Incorporator

Name Role
UPADHYAY, SHAILESH Incorporator

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State