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Mohammed A. Siddiqui, M.D., PLLC

Company Details

Name: Mohammed A. Siddiqui, M.D., PLLC
Legal type: Kentucky Limited Liability Company
Status: Active
Standing: Good
Profit or Non-Profit: Profit
File Date: 24 Jun 2014 (11 years ago)
Organization Date: 24 Jun 2014 (11 years ago)
Last Annual Report: 12 Jun 2024 (a year ago)
Managed By: Members
Organization Number: 0890543
ZIP code: 42701
City: Elizabethtown, E Town
Primary County: Hardin County
Principal Office: 1107 WOODLAND DRIVE, SUITE 102, Elizabethtown, KY 42701
Place of Formation: KENTUCKY

Registered Agent

Name Role
Mohammed A Siddiqui Registered Agent

Member

Name Role
MOHAMMAD A SIDDIQUI Member

Organizer

Name Role
Mohammed A Siddiqui Organizer

National Provider Identifier

NPI Number:
1154738953

Authorized Person:

Name:
MOHAMMED A SIDDIQUI
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
261QM2500X - Medical Specialty Clinic/Center
Is Primary:
Yes

Contacts:

Filings

Name File Date
Annual Report 2024-06-12
Annual Report 2023-06-02
Annual Report 2022-05-19
Annual Report 2021-05-24
Principal Office Address Change 2020-06-29

Sources: Kentucky Secretary of State