Search icon

KOMAL CHANDAN, PHYSICIAN, PLLC

Company Details

Name: KOMAL CHANDAN, PHYSICIAN, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 12 Apr 2002 (23 years ago)
Entity Number: 2754162
ZIP code: 14221
County: Niagara
Place of Formation: New York
Address: 5780 MAIN STREET, WILLIAMSVILLE, NY, United States, 14221

DOS Process Agent

Name Role Address
C/O SUNIL BAKSHI, ESQ., GRASHOW & BAKSHI DOS Process Agent 5780 MAIN STREET, WILLIAMSVILLE, NY, United States, 14221

National Provider Identifier

NPI Number:
1790974269

Authorized Person:

Name:
KOMAL CHANDAN
Role:
PHYSICIAN
Phone:

Taxonomy:

Selected Taxonomy:
302F00000X - Exclusive Provider Organization
Is Primary:
Yes

Contacts:

Form 5500 Series

Employer Identification Number (EIN):
043651831
Plan Year:
2015
Number Of Participants:
6
Sponsors Telephone Number:
Plan Year:
2014
Number Of Participants:
6
Sponsors Telephone Number:
Plan Year:
2013
Number Of Participants:
6
Sponsors Telephone Number:
Plan Year:
2013
Number Of Participants:
6
Sponsors Telephone Number:
Plan Year:
2012
Number Of Participants:
6
Sponsors Telephone Number:

Filings

Filing Number Date Filed Type Effective Date
060411002106 2006-04-11 BIENNIAL STATEMENT 2006-04-01
020702000405 2002-07-02 AFFIDAVIT OF PUBLICATION 2002-07-02
020702000408 2002-07-02 AFFIDAVIT OF PUBLICATION 2002-07-02
020412000022 2002-04-12 ARTICLES OF ORGANIZATION 2002-04-12

Date of last update: 30 Mar 2025

Sources: New York Secretary of State