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SHAH MEDICAL GROUP, L.L.P.

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Company Details

Name: SHAH MEDICAL GROUP, L.L.P.
Jurisdiction: New York
Legal type: DOMESTIC REGISTERED LIMITED LIABILITY PARTNERSHIP
Status: Inactive
Date of registration: 25 Sep 1996 (29 years ago)
Date of dissolution: 15 Dec 2017
Entity Number: 2068910
ZIP code: 11803
County: Blank
Place of Formation: New York
Address: 528 OLD COUNTRY RD, PLAINVIEW, NY, United States, 11803

DOS Process Agent

Name Role Address
THE PARTNERSHIP DOS Process Agent 528 OLD COUNTRY RD, PLAINVIEW, NY, United States, 11803

National Provider Identifier

NPI Number:
1194816397

Authorized Person:

Name:
SURENDRALAL G. SHAH
Role:
MD
Phone:

Taxonomy:

Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
No
Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
No
Selected Taxonomy:
207RN0300X - Nephrology Physician
Is Primary:
No
Selected Taxonomy:
207RH0003X - Hematology & Oncology Physician
Is Primary:
Yes

Contacts:

Fax:
5168221373

Form 5500 Series

Employer Identification Number (EIN):
113000495
Plan Year:
2010
Number Of Participants:
6
Sponsors Telephone Number:
Plan Year:
2009
Number Of Participants:
6
Sponsors Telephone Number:

History

Start date End date Type Value
1996-09-25 2001-11-19 Address 528 OLD COUNTRY ROAD, PLAINVIEW, NY, 11803, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
171215000479 2017-12-15 NOTICE OF WITHDRAWAL 2017-12-15
160720002006 2016-07-20 FIVE YEAR STATEMENT 2016-09-01
110914002322 2011-09-14 FIVE YEAR STATEMENT 2011-09-01
110720002938 2011-07-20 FIVE YEAR STATEMENT 2011-09-01
060727002025 2006-07-27 FIVE YEAR STATEMENT 2006-09-01

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Date of last update: 14 Mar 2025

Sources: New York Secretary of State