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GEETA S. CHAVDA, M.D., PLLC

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Company Details

Name: GEETA S. CHAVDA, M.D., PLLC
Legal type: Kentucky Limited Liability Company
Status: Active
Standing: Good
File Date: 20 Dec 2005 (20 years ago)
Organization Date: 20 Dec 2005 (20 years ago)
Last Annual Report: 16 May 2024 (a year ago)
Managed By: Members
Organization Number: 0628018
Industry: Health Services
Number of Employees: Small (0-19)
ZIP code: 42240
City: Hopkinsville
Primary County: Christian County
Principal Office: 1739 CANTON ST, 1739 CANTON ST, HOPKINSVILLE, HOPKINSVILLE, KY 42240
Place of Formation: KENTUCKY

Registered Agent

Name Role
GEETA S. CHAVDA, M.D., PLLC Registered Agent

Member

Name Role
Sanjay Chavda Member
GEETA S CHAVDA MD Member

Organizer

Name Role
GEETA S. CHAVDA M.D. Organizer

Unique Entity ID

Unique Entity ID:
JF5GPKAAW1Y3
CAGE Code:
91TR2
UEI Expiration Date:
2023-05-05

Business Information

Doing Business As:
(AFF: JENNIE STUART MEDICAL CENTER)
Activation Date:
2022-05-09
Initial Registration Date:
2021-06-03

National Provider Identifier

NPI Number:
1750302865

Authorized Person:

Name:
DR. GEETA S CHAVDA
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
No
Selected Taxonomy:
261QR1300X - Rural Health Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
2708814730

Filings

Name File Date
Annual Report 2024-05-16
Annual Report 2023-03-16
Annual Report 2022-03-24
Annual Report 2021-02-24
Registered Agent name/address change 2021-02-24

USAspending Awards / Financial Assistance

Date:
2021-07-23
Awarding Agency Name:
Department of Health and Human Services
Transaction Description:
RURAL HEALTH CLINIC VACCINE CONFIDENCE PROGRAM
Obligated Amount:
0.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2021-07-21
Awarding Agency Name:
Department of Health and Human Services
Transaction Description:
RURAL HEALTH CLINIC VACCINE CONFIDENCE PROGRAM
Obligated Amount:
49529.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00

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Sources: Kentucky Secretary of State