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BIG SANDY SURGICAL PRACTICE PLLC

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Company Details

Name: BIG SANDY SURGICAL PRACTICE PLLC
Legal type: Kentucky Limited Liability Company
Status: Inactive
Standing: Bad
File Date: 08 Sep 2006 (19 years ago)
Organization Date: 08 Sep 2006 (19 years ago)
Last Annual Report: 31 Jan 2008 (17 years ago)
Managed By: Members
Organization Number: 0646680
ZIP code: 41653
City: Prestonsburg, Emma, Endicott, Hippo
Primary County: Floyd County
Principal Office: 5230 KY ROUTE 321, SUITE 2, PRESTONSBURG, KY 41653
Place of Formation: KENTUCKY

Manager

Name Role
FARUQUE AHMED Manager

Signature

Name Role
FARUQUE AHMED Signature

Registered Agent

Name Role
FARUQUE AHMED Registered Agent

Organizer

Name Role
FARUQUE AHMED Organizer

National Provider Identifier

NPI Number:
1265518070

Authorized Person:

Name:
FARUQUE AHMED
Role:
PHYSICIAN / OWNER
Phone:

Taxonomy:

Selected Taxonomy:
208600000X - Surgery Physician
Is Primary:
Yes

Contacts:

Fax:
6068898896

Filings

Name File Date
Administrative Dissolution Return 2009-11-13
Administrative Dissolution 2009-11-03
Annual Report 2008-01-31
Annual Report 2007-03-14
Statement of Change 2007-03-13

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Sources: Kentucky Secretary of State