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P.R. Tipirneni, M.D., Inc.

Company Details

Name: P.R. Tipirneni, M.D., Inc.
Jurisdiction: Rhode Island
Entity type: Domestic Profit Corporation
Status: Activ
Date of Organization in Rhode Island: 22 Dec 1986 (38 years ago)
Identification Number: 000041209
ZIP code: 02879
County: Washington County
Principal Address: 24 SALT POND ROAD, WAKEFIELD, RI, 02879, USA
Purpose: MEDICAL PRACTICE
NAICS: 621111 - Offices of Physicians (except Mental Health Specialists)

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1932360666 2008-06-25 2008-06-25 24 SALT POND RD, BUILDING H-2, WAKEFIELD, RI, 028794314, US 24 SALT POND RD, BUILDING H-2, WAKEFIELD, RI, 028794314, US

Contacts

Phone +1 401-789-0227

Authorized person

Name SHARON A NULK
Role MEDICAL BILLER
Phone 4017890227

Taxonomy

Taxonomy Code 207Y00000X - Otolaryngology Physician
License Number RI6624
State RI
Is Primary Yes

Agent

Name Role Address
PRABHAKAR RAO TIPIRNENI Agent 24 SALT POND ROAD, WAKEFIELD, RI, 02879, USA

PRESIDENT

Name Role Address
P.R. TIPIRNENI MD PRESIDENT 24 SALT POND ROAD WAKFIELD, RI 02879 USA

Filings

Number Name File Date
202452181490 Annual Report 2024-04-18
202329811200 Annual Report 2023-02-28
202212746530 Annual Report 2022-03-04
202190775160 Annual Report 2021-02-10
202035146810 Annual Report 2020-02-21
201986041410 Annual Report 2019-02-04
201857310380 Annual Report 2018-01-29
201734319860 Annual Report 2017-02-17
201691501630 Annual Report 2016-01-29
201554007970 Annual Report 2015-01-20

Date of last update: 06 Oct 2024

Sources: Rhode Island Department of State