Name: | Neurology Associates, P.C. |
Jurisdiction: | Alabama |
Legal type: | Domestic Professional Corporation |
Status: | Exists |
Date of registration: | 20 Apr 2009 (16 years ago) (Companies founded in April 2009) |
Entity Number: | 000-260-735 |
Register Number: | 000260735 |
ZIP code: | 35801 (Companies in Madison, 35801) |
County: | Madison |
Place of Formation: | Madison County |
Principal Address: | HUNTSVILLE, AL |
Registered Office Street Address: | 2350 WHITESBURG DRHUNTSVILLE, AL 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 | |||||||||||||||||||||||||||||||
|
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