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AFSHAN KHAN, PHYSICIAN, P.C.

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Company Details

Name: AFSHAN KHAN, PHYSICIAN, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 20 Sep 1999 (26 years ago)
Entity Number: 2420357
ZIP code: 10461
County: Bronx
Place of Formation: New York
Address: 1654 MAYFLOWER AVE, BRONX, NY, United States, 10461

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

Chief Executive Officer

Name Role Address
AFSHAN KHAN, MD Chief Executive Officer 1654 MAYFLOWER AVE, BRONX, NY, United States, 10461

DOS Process Agent

Name Role Address
AFSHAN KHAN, MD DOS Process Agent 1654 MAYFLOWER AVE, BRONX, NY, United States, 10461

National Provider Identifier

NPI Number:
1629198775

Authorized Person:

Name:
AFSHAN MURAD KHAN
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
2084N0402X - Neurology with Special Qualifications in Child Neurology Physician
Is Primary:
No
Selected Taxonomy:
208000000X - Pediatrics Physician
Is Primary:
Yes

Contacts:

Fax:
7188230839

History

Start date End date Type Value
1999-09-20 2001-08-30 Address 1654 MAYFLOWER AVE, BRONX, NY, 10461, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
070910002280 2007-09-10 BIENNIAL STATEMENT 2007-09-01
051108002752 2005-11-08 BIENNIAL STATEMENT 2005-09-01
030829002271 2003-08-29 BIENNIAL STATEMENT 2003-09-01
010830002386 2001-08-30 BIENNIAL STATEMENT 2001-09-01
990920000614 1999-09-20 CERTIFICATE OF INCORPORATION 1999-09-20

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Date of last update: 31 Mar 2025

Sources: New York Secretary of State