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D. M. SHIVAKUMAR, M.D., P.S.C.

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Company Details

Name: D. M. SHIVAKUMAR, M.D., P.S.C.
Legal type: Kentucky Professional Services Corp
Status: Inactive
Standing: Good
Profit or Non-Profit: Profit
Organization Date: 01 Jan 1991 (34 years ago)
Last Annual Report: 06 Feb 2014 (11 years ago)
Organization Number: 0280802
ZIP code: 42743
City: Greensburg
Primary County: Green County
Principal Office: 103 WEST COURT STREET, GREENSBURG, KY 42743
Place of Formation: KENTUCKY
Authorized Shares: 2000

Registered Agent

Name Role
BILL COLVIN Registered Agent

President

Name Role
D M Shivakumar President
D M SHIVAKUMAR President

Treasurer

Name Role
Sunanda Devi Shivakumar Treasurer

Director

Name Role
D M Shivakumar Director
D. M. SHIVAKUMAR, M.D. Director

Shareholder

Name Role
D M Shivakumar Shareholder

Incorporator

Name Role
D. M. SHIVAKUMAR, M.D. Incorporator

Secretary

Name Role
Sunanda Devi Shivakumar Secretary

National Provider Identifier

NPI Number:
1336470806

Authorized Person:

Name:
DR. DODDACHALLOR MATT SHIVAKUMAR
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
2703580084

Filings

Name File Date
Dissolution 2014-04-03
Annual Report 2014-02-06
Annual Report 2013-01-16
Registered Agent name/address change 2012-07-20
Principal Office Address Change 2012-07-20

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Sources: Kentucky Secretary of State