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SOUTH OLDHAM MEDICAL CLINIC, P.S.C.

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Company Details

Name: SOUTH OLDHAM MEDICAL CLINIC, P.S.C.
Legal type: Kentucky Professional Services Corp
Status: Inactive
Standing: Bad
Profit or Non-Profit: Profit
File Date: 24 Feb 1997 (29 years ago)
Organization Date: 24 Feb 1997 (29 years ago)
Last Annual Report: 08 May 2018 (7 years ago)
Organization Number: 0429058
ZIP code: 40014
City: Crestwood, Ballardsville, Orchard Grass, Orchard Gr...
Primary County: Oldham County
Principal Office: 6520 WEST HIGHWAY 22, CRESTWOOD, KY 40014
Place of Formation: KENTUCKY
Authorized Shares: 1000

Registered Agent

Name Role
ASHOK V. ALUR, M.D. Registered Agent

President

Name Role
SAMUEL JEYASINGHAM, M.D. President

Director

Name Role
SAMUEL JEYASINGHAM, M.D. Director
Ashok Alur, M.D. Director

Shareholder

Name Role
SAMUEL JEYASINGHAM, M.D. Shareholder
Ashok Alur, M.D. Shareholder

Vice President

Name Role
Ashok Alur, M.D. Vice President

Incorporator

Name Role
ASHOK V. ALUR, M.D. Incorporator

National Provider Identifier

NPI Number:
1922142983

Authorized Person:

Name:
ASHOR ALUR
Role:
PHYSICIAN OWNER
Phone:

Taxonomy:

Selected Taxonomy:
208D00000X - General Practice Physician
Is Primary:
Yes

Contacts:

Fax:
5022417424

Form 5500 Series

Employer Identification Number (EIN):
611292048
Plan Year:
2013
Number Of Participants:
7
Sponsors Telephone Number:
Plan Year:
2012
Number Of Participants:
8
Sponsors Telephone Number:
Plan Year:
2011
Number Of Participants:
8
Sponsors Telephone Number:
Plan Year:
2010
Number Of Participants:
8
Sponsors Telephone Number:
Plan Year:
2009
Number Of Participants:
8
Sponsors Telephone Number:

Filings

Name File Date
Administrative Dissolution 2019-10-16
Annual Report 2018-05-08
Annual Report 2017-04-25
Annual Report 2016-04-15
Annual Report 2015-04-21

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Sources: Kentucky Secretary of State