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Renal Associates of Roanoke, LLC

Details

Name: Renal Associates of Roanoke, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 08 Jan 2024 (10 months ago) (Companies founded in January 2024)
Entity Number: 001-114-990
Register Number: 001114990
ZIP code: 36274 (Companies in Randolph, 36274)
County: Randolph
Place of Formation: Alabama
Registered Office Street Address: 4459 U.S. Highway 431Roanoke, AL 36274

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1447017314 2024-03-06 2024-03-06 6228 BRADLEY PARK DR STE A, COLUMBUS, GA, 319043605, US 4459 HIGHWAY 431, ROANOKE, AL, 362742603, US

Contacts

Phone +1 706-322-1486
Fax 7063243419

Authorized person

Name RAJEEV CHAUHAN
Role OWNER
Phone 7063221486

Taxonomy

Taxonomy Code 207RN0300X - Nephrology Physician
Is Primary Yes

Agent

Name Role
Chauhan, Rajeev Agent

Date of last update: 18 Aug 2024

Sources: Alabama Secretary of State