| Name: | M. Taghi Rajabiun, M.D., Inc. |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Profit Corporation |
| Status: | Revoked Entity |
| Date of Organization in Rhode Island: | 28 Aug 2000 (24 years ago) |
| Date of Dissolution: | 02 Nov 2017 (7 years ago) |
| Date of Status Change: | 02 Nov 2017 (7 years ago) |
| Identification Number: | 000114150 |
| ZIP code: | 02904 |
| County: | Providence County |
| Principal Address: | 259 HIGH SERVICE AVENUE, NORTH PROVIDENCE, RI, 02904, USA |
| Purpose: | TO ENGAGE IN THE PRACTICE OF MEDICINE BY PERSONS AUTHORIZED TO PRACTICE MEDICINE IN THE STATE OF RHODE ISLAND. |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1093172298 | 2016-01-20 | 2016-01-20 | 259 HIGH SERVICE AVE, NORTH PROVIDENCE, RI, 029045135, US | 259 HIGH SERVICE AVE, NORTH PROVIDENCE, RI, 029045135, US | |||||||||||||||||
|
|||||||||||||||||||||
| Phone | +1 401-353-6800 |
Authorized person
| Name | DR. M. TAGHI RAJABIUN |
| Role | PRESIDENT |
| Phone | 4013536800 |
Taxonomy
| Taxonomy Code | 2086S0129X - Vascular Surgery Physician |
| Is Primary | Yes |
| Taxonomy Code | 208G00000X - Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| JAMES P. REDDING, ESQ. | Agent | 27 SAKONNET POINT ROAD, LITTLE COMPTON, RI, 02837, USA |
| Name | Role | Address |
|---|---|---|
| M. TAGHI RAJABIUN MD | PRESIDENT | 259 HIGH SERVICE AVENUE NORTH PROVIDENCE, RI 02904- USA |
| Name | Role | Address |
|---|---|---|
| M. TAGHI RAJABIUN MD | TREASURER | 259 HIGH SERVICE AVENUE NORTH PROVIDENCE, RI 02904 USA |
| Name | Role | Address |
|---|---|---|
| M. TAGHI RAJABIUN MD | SECRETARY | 259 HIGH SERVICE AVENUE NORTH PROVIDENCE, RI 02904 USA |
| Name | Role | Address |
|---|---|---|
| M. TAGHI RAJABIUN MD | DIRECTOR | 259 HIGH SERVICE AVENUE NORTH PROVIDENCE, RI 02904 USA |
| Number | Name | File Date |
|---|---|---|
| 201752771790 | Revocation Certificate For Failure to File the Annual Report for the Year | 2017-11-02 |
| 201747760440 | Revocation Notice For Failure to File An Annual Report | 2017-07-27 |
| 201691189900 | Annual Report | 2016-01-25 |
| 201552833580 | Annual Report | 2015-01-07 |
| 201435657450 | Annual Report | 2014-02-17 |
| 201308502540 | Annual Report | 2013-01-09 |
| 201291263190 | Statement of Change of Registered/Resident Agent Office | 2012-03-20 |
| 201288630880 | Annual Report | 2012-01-30 |
| 201175753630 | Annual Report | 2011-02-28 |
| 201058933900 | Annual Report | 2010-02-24 |
Date of last update: 08 Oct 2024
Sources: Rhode Island Department of State
