Praful S. Patel, MD, P.C.

Details

Name:	Praful S. Patel, MD, P.C.
Jurisdiction:	Alabama
Legal type:	Domestic Professional Corporation
Status:	Exists
Date of registration:	14 Jan 2011 (14 years ago)
Entity Number:	000-266-201
Register Number:	000266201
County:	Montgomery
Place of Formation:	Montgomery County
Principal Address:	MONTGOMERY, AL
Registered Office Street Address:	473 TOWNE LAKE PLACEMONTGOMERY, AL 36117
Registered Office Street Address ZIP Code:	36117
Authorized Capital:	$1,000

Activities PRACTICE OF INTERNAL MEDICINE

National Provider Identifier

NPI

Enumeration Date

Last Update Date

Mailing Address

Practice Location Address

1275838047

2011-01-25

2257 TAYLOR RD, SUITE 200, MONTGOMERY, AL, 361177790, US

1725 PINE ST, MONTGOMERY, AL, 361061109, US

Contacts

Phone	+1 334-270-9914
Fax	3342703195
Phone	+1 334-293-8000

Authorized person

Name	DR. PRAFUL PATEL
Role	OWNER
Phone	3342709914

Taxonomy

Taxonomy Code	207R00000X - Internal Medicine Physician
Is Primary	Yes

form 5500

Plan Name

Plan Year

EIN/PN

Received

Sponsor

Total number of participants

PRAFUL S. PATEL MD DEFINED BENEFIT PENSION PLAN

2010

631273053

2011-08-28

PRAFUL S. PATEL MD

File	View Page
Three-digit plan number (PN)	002
Effective date of plan	2002-12-01
Business code	621111
Sponsor’s telephone number	3342150991
Plan sponsor’s mailing address	473 TOWNE LAKE PLACE, MONTGOMERY, AL, 36117
Plan sponsor’s address	473 TOWNE LAKE PLACE, MONTGOMERY, AL, 36117

Plan administrator’s name and address

Administrator’s EIN	631273053
Plan administrator’s name	PRAFUL S. PATEL MD
Plan administrator’s address	473 TOWNE LAKE PLACE, MONTGOMERY, AL, 36117
Administrator’s telephone number	3342150991

Number of participants as of the end of the plan year

Active participants	4
Retired or separated participants receiving benefits	0
Other retired or separated participants entitled to future benefits	0
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits	0
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	0

Signature of

Role	Plan administrator
Date	2011-08-28
Name of individual signing	PRAFUL PATEL
Valid signature	Filed with authorized/valid electronic signature