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Your Doctor's Office, P.C.

Details

Name: Your Doctor's Office, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 04 Feb 2016 (9 years ago) (Companies founded in February 2016)
Entity Number: 000-352-163
Register Number: 000352163
ZIP code: 36117 (Companies in Montgomery, 36117)
County: Montgomery
Place of Formation: Montgomery County
Registered Office Street Address: 1819 BEAUVOIR LAKE DRIVEMONTGOMERY, AL 36117
Authorized Capital: 1,000 @ $1/PV

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1003267899 2016-06-23 2016-10-31 8630 VAUGHN RD, MONTGOMERY, AL, 361178852, US 8630 VAUGHN RD, MONTGOMERY, AL, 361178852, US

Contacts

Phone +1 334-676-4076
Fax 3346764064

Authorized person

Name DR. SHAIKH WAHIDUZZAMAN
Role MANAGER/OWNER
Phone 3346764076

Taxonomy

Taxonomy Code 207Q00000X - Family Medicine Physician
License Number 24787
State AL
Is Primary Yes

Agent

Name Role Address
BAILEY, IRENE A Agent 1819 BEAUVOIR LAKE DRIVEMONTGOMERY, AL 36117

Director

Name Role Address
BAILEY, IRENE A Director 1819 BEAUVOIR LAKE DRIVEMONTGOMERY, AL 36117
WAHIDUZZAMAN, SHAIKH Director 1819 BEAUVOIR LAKE DRIVEMONTGOMERY, AL 36117

Incorporator

Name Role Address
WAHIDUZZAMAN, SHAIKH Incorporator 1819 BEAUVOIR LAKE DRIVEMONTGOMERY, AL 36117
BAILEY, IRENE A Incorporator 1819 BEAUVOIR LAKE DRIVEMONTGOMERY, AL 36117

Date of last update: 03 Aug 2024

Sources: Alabama Secretary of State