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DR. PRAMOD BHATIA LLC

Details

Name: DR. PRAMOD BHATIA LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 06 Oct 2016 (8 years ago) (Companies founded in October 2016)
Entity Number: 000-373-663
Register Number: 000373663
Place of Formation: Saint Clair County
Registered Office Street Address: 2021 RIVER OAKS POINTNOT PROVIDED, AL

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1558015453 2022-02-09 2022-02-09 PO BOX 622, GARDENDALE, AL, 350710622, US 204 MEDICAL PARK OFC PARK, TALLADEGA, AL, 351602213, US

Contacts

Phone +1 205-694-2019
Fax 2056318292
Phone +1 256-761-1729

Authorized person

Name PRAMOD BHATIA
Role PROVIDER
Phone 2567611729

Taxonomy

Taxonomy Code 207YX0602X - Otolaryngic Allergy Physician
Is Primary Yes

Agent

Name Role Address
BHATIA, PRAMOD Agent 2021 RIVER OAKS POINTCROPWELL, AL 35054

Date of last update: 13 Aug 2024

Sources: Alabama Secretary of State