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KDV MEDICAL P.C.

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Company Details

Name: KDV MEDICAL P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 18 Nov 2020 (5 years ago)
Entity Number: 5880524
ZIP code: 11801
County: Suffolk
Place of Formation: New York
Address: 96 EAST ST, HICKSVILLE, NY, United States, 11801

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
KETEN VORA DOS Process Agent 96 EAST ST, HICKSVILLE, NY, United States, 11801

Chief Executive Officer

Name Role Address
KETAN VORA Chief Executive Officer 96 EAST ST, HICKSVILLE, NY, United States, 11801

National Provider Identifier

NPI Number:
1346830254
Certification Date:
2021-01-25

Authorized Person:

Name:
DR. KETAN DHRUVKUMAR VORA
Role:
CEO
Phone:

Taxonomy:

Selected Taxonomy:
2081N0008X - Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
Is Primary:
No
Selected Taxonomy:
2081P2900X - Pain Medicine (Physical Medicine & Rehabilitation) Physician
Is Primary:
Yes

Contacts:

History

Start date End date Type Value
2025-05-13 2025-07-07 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2025-01-06 2025-05-13 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2024-10-29 2025-01-06 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2024-10-17 2024-10-29 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2024-10-17 2024-10-17 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0

Filings

Filing Number Date Filed Type Effective Date
241029002552 2024-10-29 BIENNIAL STATEMENT 2024-10-29
201118000021 2020-11-18 CERTIFICATE OF INCORPORATION 2020-11-18

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Date of last update: 22 Mar 2025

Sources: New York Secretary of State