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JANAKI KANUMILLI MD P.C.

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Company Details

Name: JANAKI KANUMILLI MD P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 04 Nov 2004 (21 years ago)
Entity Number: 3122322
ZIP code: 11375
County: Queens
Place of Formation: New York
Principal Address: 110-50 71ST ST, STE 1B, FOREST HILLS, NY, United States, 11375
Address: 110-50 71ST RD, STE 1B, FOREST HILLS, NY, United States, 11375

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

Chief Executive Officer

Name Role Address
JANAKI KANUMILLI Chief Executive Officer 3 ARBORFEILDS CT, OLD WESTBURY, NY, United States, 11568

DOS Process Agent

Name Role Address
JANAKI KANUMILLI DOS Process Agent 110-50 71ST RD, STE 1B, FOREST HILLS, NY, United States, 11375

National Provider Identifier

NPI Number:
1255627725

Authorized Person:

Name:
MRS. JANAKI KANUMILLI
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
302R00000X - Health Maintenance Organization
Is Primary:
Yes

Contacts:

Fax:
7188971926

History

Start date End date Type Value
2023-02-10 2023-02-10 Address 3 ARBORFEILDS CT, OLD WESTBURY, NY, 11568, USA (Type of address: Chief Executive Officer)
2023-02-10 2023-02-10 Address 110-50 71ST RD, STE 1B, FOREST HILLS, NY, 11375, USA (Type of address: Chief Executive Officer)
2006-11-20 2023-02-10 Address 110-50 71ST RD, STE 1B, FOREST HILLS, NY, 11375, USA (Type of address: Chief Executive Officer)
2006-11-20 2023-02-10 Address 110-50 71ST RD, STE 1B, FOREST HILLS, NY, 11375, USA (Type of address: Service of Process)
2004-11-04 2023-02-10 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0

Filings

Filing Number Date Filed Type Effective Date
230210003235 2023-02-10 BIENNIAL STATEMENT 2022-11-01
121114002019 2012-11-14 BIENNIAL STATEMENT 2012-11-01
090115002254 2009-01-15 BIENNIAL STATEMENT 2008-11-01
061120002561 2006-11-20 BIENNIAL STATEMENT 2006-11-01
041104000420 2004-11-04 CERTIFICATE OF INCORPORATION 2004-11-04

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Date of last update: 29 Mar 2025

Sources: New York Secretary of State