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PENNYRILE NEPHROLOGY ASSOCIATES, PSC

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Company Details

Name: PENNYRILE NEPHROLOGY ASSOCIATES, PSC
Legal type: Kentucky Professional Services Corp
Status: Inactive
Standing: Bad
Profit or Non-Profit: Profit
File Date: 03 Feb 2014 (11 years ago)
Organization Date: 03 Feb 2014 (11 years ago)
Last Annual Report: 29 Jun 2022 (3 years ago)
Organization Number: 0878215
ZIP code: 42431
City: Madisonville
Primary County: Hopkins County
Principal Office: 1020 WATERFALL COURT, MADISONVILLE, KY 42431
Place of Formation: KENTUCKY
Authorized Shares: 2000

Incorporator

Name Role
M. BASHAR MOURAD Incorporator

Registered Agent

Name Role
RANDALL L. HARDESTY Registered Agent

President

Name Role
Imran Dosani President

Secretary

Name Role
Vinaikumar Katragadda Secretary

Vice President

Name Role
Vinaikumar Katragadda Vice President

Treasurer

Name Role
Imran Dosani Treasurer

Director

Name Role
Imran Dosani Director
Vinaikumar Katragadda Director

Shareholder

Name Role
Imran Dosani Shareholder
Vinaikumar Katragadda Shareholder

National Provider Identifier

NPI Number:
1982177572
Certification Date:
2021-02-22

Authorized Person:

Name:
AMY WHITNEY
Role:
OFFICE MANGER
Phone:

Taxonomy:

Selected Taxonomy:
207RN0300X - Nephrology Physician
Is Primary:
Yes

Contacts:

Fax:
2703262090
Fax:
2708253793

Form 5500 Series

Employer Identification Number (EIN):
464733598
Plan Year:
2021
Number Of Participants:
5
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
7
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
8
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
7
Sponsors Telephone Number:

Filings

Name File Date
Administrative Dissolution 2023-10-04
Annual Report 2022-06-29
Annual Report 2021-02-11
Registered Agent name/address change 2020-09-22
Principal Office Address Change 2020-04-01

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Sources: Kentucky Secretary of State