| Name: | Abidi Family Practice, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 12 Aug 2020 (4 years ago) (Companies founded in August 2020) |
| Entity Number: | 000-643-905 |
| Register Number: | 000643905 |
| ZIP code: | 35763 (Companies in Madison, 35763) |
| County: | Madison |
| Place of Formation: | Madison County |
| Registered Office Street Address: | 2912 PASTURE VIEW LANE SEOWENS CROSS ROADS, AL 35763 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1760061337 | 2021-04-02 | 2023-07-13 | 401 LOWELL DR SE STE 19, HUNTSVILLE, AL, 358013738, US | 401 LOWELL DR SE STE 19, HUNTSVILLE, AL, 358013738, US | |||||||||||||||
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| Phone | +1 256-801-8649 |
| Fax | 2562708175 |
Authorized person
| Name | RAKHSHANDA KHAN |
| Role | OWNER |
| Phone | 2568018649 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ABIDI FAMILY PRACTICE 401(K) PLAN | 2023 | 852503434 | 2024-07-22 | ABIDI FAMILY PRACTICE | 2 | |||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2024-07-22 |
| Name of individual signing | CHRIS HORNE |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2022-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 2568018649 |
| Plan sponsor’s address | 401 LOWELL DRIVE SUITE 19, HUNTSVILLE, AL, 35801 |
Signature of
| Role | Plan administrator |
| Date | 2023-07-17 |
| Name of individual signing | CHRIS HORNE |
| Name | Role |
|---|---|
| KHAN, RAKHSHANDA | Agent |
Date of last update: 15 Aug 2024
Sources: Alabama Secretary of State
