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Huntsville Internal Medicine LLC.

Details

Name: Huntsville Internal Medicine LLC.
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 08 Sep 2020 (4 years ago) (Companies founded in September 2020)
Entity Number: 000-646-662
Register Number: 000646662
ZIP code: 35816 (Companies in Madison, 35816)
County: Madison
Place of Formation: Madison County
Registered Office Street Address: 3200 University Dr NW Rm 303Huntsville, AL 35816
Registered Office Mailing Address: 107 Governors Drive, Encompass RehabHuntsville, AL 35801

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1548876907 2020-09-21 2020-09-21 107 GOVERNORS DR SW, HUNTSVILLE, AL, 358014326, US 107 GOVERNORS DR SW, HUNTSVILLE, AL, 358014326, US

Contacts

Phone +1 256-417-9986

Authorized person

Name MOHAMMAD BASIL AMIN
Role PRESIDENT
Phone 2564179986

Taxonomy

Taxonomy Code 207R00000X - Internal Medicine Physician
Is Primary Yes

Agent

Name Role
Amin, Mohammad B MD, Agent

Date of last update: 15 Aug 2024

Sources: Alabama Secretary of State