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Affinity Primary Care LLC

Details

Name: Affinity Primary Care LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 29 Sep 2022 (2 years ago) (Companies founded in September 2022)
Entity Number: 001-042-208
Register Number: 001042208
ZIP code: 35802 (Companies in Madison, 35802)
County: Madison
Place of Formation: Alabama
Registered Office Street Address: 2120 Springhouse RoadHuntsville, AL 35802

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1326758525 2022-11-29 2023-02-23 2120 SPRINGHOUSE RD SE, HUNTSVILLE, AL, 358021869, US 1010 AIRPORT RD SW STE C, HUNTSVILLE, AL, 358021478, US

Contacts

Phone +1 256-701-1435
Phone +1 256-824-9966
Fax 2562421022

Authorized person

Name PRASANNA KUMAR ALLADA
Role OWNER/ PHYSICIAN
Phone 2567011435

Taxonomy

Taxonomy Code 207Q00000X - Family Medicine Physician
Is Primary Yes

Agent

Name Role Address
Allada, Prasanna K Agent 2120 Springhouse RoadHuntsville, AL 35802

Organizer

Name Role Address
Allada, Prasanna K Organizer 2120 Springhouse RoadHuntsville, AL 35802

Date of last update: 17 Aug 2024

Sources: Alabama Secretary of State