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NEERAJ MAHBOOB INTERNAL MEDICINE, P.S.C.

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Company Details

Name: NEERAJ MAHBOOB INTERNAL MEDICINE, P.S.C.
Legal type: Kentucky Professional Services Corp
Status: Active
Standing: Good
Profit or Non-Profit: Profit
File Date: 02 Dec 2002 (23 years ago)
Organization Date: 02 Dec 2002 (23 years ago)
Last Annual Report: 23 Mar 2025 (4 months ago)
Organization Number: 0549149
Industry: Health Services
Number of Employees: Small (0-19)
ZIP code: 40962
City: Manchester, Bluehole, Bright Shade, Chestnutburg, Er...
Primary County: Clay County
Principal Office: 515 MEMORIAL DRIVE; SUITE 3, MANCHESTER, KY 40962
Place of Formation: KENTUCKY
Authorized Shares: 100

Sole Officer

Name Role
NEERAJ MAHBOOB Sole Officer

Shareholder

Name Role
NEERAJ MAHBOOB Shareholder

Incorporator

Name Role
NEERAJ MAHBOOB Incorporator

Registered Agent

Name Role
NEERAJ MAHBOOB Registered Agent

Unique Entity ID

Unique Entity ID:
CQ4ZK91JE6G1
CAGE Code:
929Z7
UEI Expiration Date:
2026-04-16

Business Information

Doing Business As:
MEDICAL ASSOCIATES OF SOUTHEAST KENTUCKY
Division Name:
NEERAJ MAHBOOB INTERNAL MEDICINE PSC
Activation Date:
2025-04-18
Initial Registration Date:
2021-06-06

National Provider Identifier

NPI Number:
1407867484

Authorized Person:

Name:
NEERAJ MAHBOOB
Role:
OWNER/PHYSICIAN
Phone:

Taxonomy:

Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
No
Selected Taxonomy:
363L00000X - Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
261QP2300X - Primary Care Clinic/Center
Is Primary:
No
Selected Taxonomy:
261QR1300X - Rural Health Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
6065990869

Assumed Names

Name Status Expiration Date
MEDICAL ASSOCIATES OF SOUTHEAST KENTUCKY Inactive 2018-11-13

Filings

Name File Date
Annual Report 2025-03-23
Assumed Name renewal 2025-03-23
Annual Report 2024-03-19
Annual Report 2023-04-02
Annual Report 2022-04-10

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Sources: Kentucky Secretary of State