| Name: | Neurology Associates, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Exists |
| Date of registration: | 20 Apr 2009 (16 years ago) |
| Entity Number: | 000-260-735 |
| Register Number: | 000260735 |
| County: | Madison |
| Place of Formation: | Madison County |
| Principal Address: | HUNTSVILLE, AL |
| Registered Office Street Address: | 2350 WHITESBURG DRHUNTSVILLE, AL 35801 |
| Registered Office Street Address ZIP Code: | 35801 |
| Authorized Capital: | $1,000 |
Activities
NEUROLOGICAL MEDICINE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1710121066 | 2009-04-29 | 2009-04-29 | 2350 WHITESBURG DR S, HUNTSVILLE, AL, 358013818, US | 2350 WHITESBURG DR S, HUNTSVILLE, AL, 358013818, US | |||||||||||||||||||||||||||||||
|
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| Phone | +1 256-258-0052 |
| Fax | 2566500093 |
Authorized person
| Name | DR. USHA NUTHI |
| Role | OWNER |
| Phone | 2562580052 |
Taxonomy
| Taxonomy Code | 2084N0400X - Neurology Physician |
| License Number | 22841 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BLUE CROSS BLUE SHIELD |
| Number | 51002898 |
| State | AL |
| Issuer | MEDICAID |
| Number | 529931470 |
| State | AL |
| Name | Role |
|---|---|
| NUTHI, USHA | Agent |
| Name | Role |
|---|---|
| NUTHI, USHA | Incorporator |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
