| Name: | Pediatric Associates of Decatur, L.L.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 05 Aug 2009 (15 years ago) |
| Entity Number: | 000-436-716 |
| Register Number: | 000436716 |
| County: | Madison |
| Place of Formation: | Madison County |
| Principal Address: | HUNTSVILLE, AL |
| Registered Office Street Address: | 2430 L&N DRHUNTSVILLE, AL 35801 |
| Registered Office Street Address ZIP Code: | 35801 |
Activities
MEDICAL PRACTICE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1699908673 | 2009-08-25 | 2009-08-25 | 1874 BELTLINE RD SW, SUITE 160, DECATUR, AL, 356015514, US | 1874 BELTLINE RD SW, SUITE 160, DECATUR, AL, 356015514, US | |||||||||||||||||||
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| Phone | +1 256-306-9400 |
| Fax | 2563069896 |
Authorized person
| Name | SUSHIL S VALAVALKAR |
| Role | PHYSICIAN/OWNER |
| Phone | 2563069400 |
Taxonomy
| Taxonomy Code | 208000000X - Pediatrics Physician |
| License Number | MD29718 |
| State | AL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| GAMONS, ROBERT C | Agent |
| Name | Role |
|---|---|
| VALAVALKAR, SUBHASHINI | Member |
| VALAVALKAR, SUSHIL S | Member |
Date of last update: 13 Aug 2024
Sources: Alabama Secretary of State
