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PRAKASH G. MAHALINGASHETTY, MD, PSC

Company Details

Name: PRAKASH G. MAHALINGASHETTY, MD, PSC
Legal type: Kentucky Professional Services Corp
Status: Inactive
Standing: Good
Profit or Non-Profit: Profit
File Date: 04 Nov 2002 (23 years ago)
Organization Date: 04 Nov 2002 (23 years ago)
Last Annual Report: 05 Feb 2008 (17 years ago)
Organization Number: 0547475
ZIP code: 41503
City: South Williamson, S Williamson
Primary County: Pike County
Principal Office: 306 HOSPITAL DRIVE, SUITE 106, PROF OFFICE BLDG, SO WILLIAMSON, KY 41503
Place of Formation: KENTUCKY
Authorized Shares: 100

President

Name Role
Prakash Mahalingashetty President

Secretary

Name Role
Aley Mahalingashetty Secretary

Signature

Name Role
PRAKASH MAHALINGASHETTY Signature

Shareholder

Name Role
Prakash Mahalingashetty Shareholder

Incorporator

Name Role
PRAKASH MAHALINGASHETTY Incorporator

Registered Agent

Name Role
PRAKASH MAHALINGASHETTY Registered Agent

National Provider Identifier

NPI Number:
1518155639

Authorized Person:

Name:
DR. PRAKASH G. MAHALINGASHETTY
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
208600000X - Surgery Physician
Is Primary:
No
Selected Taxonomy:
208600000X - Surgery Physician
Is Primary:
Yes

Contacts:

Fax:
6062370331

Assumed Names

Name Status Expiration Date
PGM SHETTY, MD, PSC. Inactive 2012-11-04

Filings

Name File Date
Dissolution 2009-03-18
Annual Report 2008-02-05
Name Renewal 2007-06-14
Annual Report 2007-01-29
Annual Report 2006-10-18

Sources: Kentucky Secretary of State