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OWENSBORO MEDICAL INTERNISTS, PSC

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Company Details

Name: OWENSBORO MEDICAL INTERNISTS, PSC
Legal type: Kentucky Professional Services Corp
Status: Inactive
Standing: Bad
Profit or Non-Profit: Profit
File Date: 09 Jul 2009 (16 years ago)
Organization Date: 09 Jul 2009 (16 years ago)
Last Annual Report: 25 Jun 2017 (8 years ago)
Organization Number: 0733498
ZIP code: 42303
City: Owensboro
Primary County: Daviess County
Principal Office: 2730 TROTTERS LANE, OWENSBORO, KY 42303
Place of Formation: KENTUCKY
Authorized Shares: 1000

Registered Agent

Name Role
NITYANAND DAYANAND GUPTA Registered Agent

President

Name Role
NITYANAND GUPTA President

Shareholder

Name Role
Nityanand Gupta Shareholder

Incorporator

Name Role
NITYANAND DAYANAND GUPTA Incorporator

Organizer

Name Role
NITYANAND DAYANAND GUPTA Organizer

National Provider Identifier

NPI Number:
1164654851

Authorized Person:

Name:
NITYANAND D GUPTA
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
363LF0000X - Family Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
2702405697

Filings

Name File Date
Administrative Dissolution Return 2018-11-15
Administrative Dissolution 2018-10-16
Registered Agent name/address change 2017-06-25
Annual Report 2017-06-25
Annual Report 2016-03-11

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Sources: Kentucky Secretary of State