| Name: | Hematology & Oncology Associates of Rhode Island, Inc. |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Profit Corporation |
| Status: | Dissolved |
| Date of Organization in Rhode Island: | 22 Dec 1993 (31 years ago) |
| Date of Dissolution: | 06 Apr 2022 (3 years ago) |
| Date of Status Change: | 06 Apr 2022 (3 years ago) |
| Identification Number: | 000075080 |
| ZIP code: | 02920 |
| County: | Providence County |
| Principal Address: | 1220 PONTIAC AVENUE 1ST FLOOR UNIT 1, CRANSTON, RI, 02920, USA |
| Purpose: | TO ACQUIRE BY PURCHASE, LEASE OR OTHERWISE ANDTO OWN, OPERATE AND MAINTAIN A BUSINESS FOR THE PURPOSE OF ENGAGING IN THE GENERAL PRACTICE OF MEDICINE |
| NAICS: | 621111 - Offices of Physicians (except Mental Health Specialists) |
| Fictitious names: |
Hematology & Oncology Associates of Rhode Island, Inc. (trading name, 2001-04-26 - ) |
| Historical names: |
Doctors Sambandam & Joseph Associates, Inc. |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1538174909 | 2006-07-31 | 2014-01-21 | 1220 PONTIAC AVE, 101, CRANSTON, RI, 029204456, US | 1220 PONTIAC AVE, 101, CRANSTON, RI, 029204456, US | |||||||||||||||||||||||||||||||||||||||||||||||||
|
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| Phone | +1 401-943-4660 |
| Fax | 4019430240 |
Authorized person
| Name | SUNDARESAN SAMBANDAM |
| Role | PRESIDENT |
| Phone | 4019434660 |
Taxonomy
| Taxonomy Code | 207RH0003X - Hematology & Oncology Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | AETNA |
| Number | 5933245 |
| Issuer | BC/BS OF RI |
| Number | 0000002589 |
| State | RI |
| Issuer | MEDICAID |
| Number | DR36986 |
| State | RI |
| Issuer | NEIGHBORHOOD HEALTH PLAN |
| Number | 0286 |
| State | RI |
| Issuer | RI BLUE CHIP |
| Number | CPG0001466 |
| State | RI |
| Issuer | TUFTS HP |
| Number | 340890 |
| State | RI |
| Name | Role | Address |
|---|---|---|
| PLAKYIL J. JOSEPH, M.D. | Agent | 1220 PONTIAC AVENUE 1ST FLOOR UNIT 1, CRANSTON, RI, 02920, USA |
| Name | Role | Address |
|---|---|---|
| SUNDARESAN SAMBANDAM MD | PRESIDENT | 1220 PONTIAC AVENUE UNIT 1 CRANSTON, RI 02920 USA |
| Name | Role | Address |
|---|---|---|
| PLAKYIL J. JOSEPH M.D. | VICE PRESIDENT | 1220 PONTIAC AVENUE, UNIT 1 CRANSTON, R. 02920 USA |
| Type | Date | Old Value | New Value |
|---|---|---|---|
| Name Change | 2007-05-08 | Doctors Sambandam & Joseph Associates, Inc. | Hematology & Oncology Associates of Rhode Island, Inc. |
| Number | Name | File Date |
|---|---|---|
| 202214058460 | Articles of Dissolution | 2022-04-06 |
| 202214058370 | Annual Report | 2022-04-06 |
| 202214054660 | Reinstatement | 2022-04-06 |
| 202199635140 | Revocation Certificate For Failure to File the Annual Report for the Year | 2021-07-29 |
| 202196764140 | Revocation Notice For Failure to File An Annual Report | 2021-05-19 |
| 202031486730 | Annual Report | 2020-01-08 |
| 201991643580 | Annual Report | 2019-05-02 |
| 201991643670 | Annual Report | 2019-05-02 |
| 201991643490 | Reinstatement | 2019-05-02 |
| 201881211530 | Revocation Certificate For Failure to File the Annual Report for the Year | 2018-11-15 |
Date of last update: 07 Oct 2024
Sources: Rhode Island Department of State
