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Smitha Rao Persaud M.D., L.L.C.

Details

Name: Smitha Rao Persaud M.D., L.L.C.
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 03 Feb 2010 (15 years ago)
Entity Number: 000-443-073
Register Number: 000443073
County: Madison
Place of Formation: Madison County
Principal Address: HUNTSVILLE, AL
Registered Office Street Address: 1425 WEATHERLY RDHUNTSVILLE, AL 35803
Registered Office Street Address ZIP Code: 35803

Activities MEDICAL OFFICE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1750604633 2010-03-08 2012-03-01 1425 WEATHERLY RD SE, HUNTSVILLE, AL, 358031178, US 1425 WEATHERLY RD SE, HUNTSVILLE, AL, 358031178, US

Contacts

Phone +1 256-881-5770
Fax 2568821410

Authorized person

Name DR. SMITHA RAO PERSAUD
Role M.D. - OWNER
Phone 2568815770

Taxonomy

Taxonomy Code 2084N0400X - Neurology Physician
License Number 27397
State AL
Is Primary Yes

Agent

Name Role
PERSAUD, SMITHA RAO Agent

Member

Name Role
PERSAUD, SMITHA RAO Member

Date of last update: 13 Aug 2024

Sources: Alabama Secretary of State