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Sudhir Bansal, M.D., Inc.

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Company Details

Name: Sudhir Bansal, M.D., Inc.
Jurisdiction: Rhode Island
Entity type: Domestic Profit Corporation
Status: Dissolved
Date of Organization in Rhode Island: 13 Aug 1991 (34 years ago)
Date of Dissolution: 31 Dec 2022 (3 years ago)
Date of Status Change: 31 Dec 2022 (3 years ago)
Identification Number: 000065682
ZIP code: 02886
City: Warwick
County: Kent County
Purpose: TO ENGAGE IN THE PRACTICE OF MEDICINE
Principal Address: Google Maps Logo 215 TOLLGATE ROAD, WARWICK, RI, 02886, USA

Industry & Business Activity

NAICS

621111 Offices of Physicians (except Mental Health Specialists)

This U.S. industry comprises establishments of health practitioners having the degree of M.D. (Doctor of Medicine) or D.O. (Doctor of Osteopathy) primarily engaged in the independent practice of general or specialized medicine (except psychiatry or psychoanalysis) or surgery. These practitioners operate private or group practices in their own offices (e.g., centers, clinics) or in the facilities of others, such as hospitals or HMO medical centers. Learn more at the U.S. Census Bureau

Agent

Name Role Address
RONALD R. WARR, JR. ESQ. Agent 47 BULLOCKS POINT AVENUE, EAST PROVIDENCE, RI, 02915, USA

PRESIDENT

Name Role Address
SUDHIR BANSAL M.D. PRESIDENT 215 TOLLGATE ROAD WARWICK, RI 02886 USA

National Provider Identifier

NPI Number:
1932424645

Authorized Person:

Name:
DOREEN M MORENCY
Role:
OFFICE MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
No
Selected Taxonomy:
207RE0101X - Endocrinology, Diabetes & Metabolism Physician
Is Primary:
Yes

Contacts:

Fax:
4012233040

Form 5500 Series

Employer Identification Number (EIN):
050461074
Plan Year:
2022
Number Of Participants:
3
Plan Administrator / Signatory:
SUDHIR BANSAL(Plan administrator)
Plan Year:
2021
Number Of Participants:
4
Plan Administrator / Signatory:
SUDHIR BANSAL(Plan administrator)
Plan Year:
2020
Number Of Participants:
4
Plan Administrator / Signatory:
SUDHIR BANSAL(Plan administrator)
Plan Year:
2019
Number Of Participants:
4
Plan Administrator / Signatory:
SUDHIR BANSAL(Plan administrator)
Plan Year:
2018
Number Of Participants:
4
Plan Administrator / Signatory:
SUDHIR BANSAL(Plan administrator)

Filings

Number Name File Date
202225527340 Articles of Dissolution 2022-12-28
202212727980 Annual Report 2022-03-04
202193292150 Annual Report 2021-02-26
202033489450 Annual Report 2020-01-30
201986438300 Annual Report 2019-02-11

USAspending Awards / Financial Assistance

Business Type:
SMALL BUSINESS
Date:
2020-04-29
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
$0
Face Value Of Loan:
$39,300
Total Face Value Of Loan:
$39,300

Paycheck Protection Program

Jobs Reported:
5
Initial Approval Amount:
$39,300
Date Approved:
2020-04-29
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$39,300
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$39,736.67
Servicing Lender:
The Washington Trust Company of Westerly
Use of Proceeds:
Payroll: $39,300

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Date of last update: 08 Jul 2025

Sources: Rhode Island Department of State