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Premier Medical Group, Professional Corporation

Company Details

Name: Premier Medical Group, Professional Corporation
Jurisdiction: Rhode Island
Entity type: Domestic Profit Corporation
Status: Activ
Date of Organization in Rhode Island: 11 Jun 2003 (22 years ago)
Identification Number: 000132537
ZIP code: 02818
County: Kent County
Principal Address: 350 MOOSEHORN ROAD SUITE 200, EAST GREENWICH, RI, 02818, USA
Purpose: MEDICAL OFFICE BUSINESS
NAICS: 621111 - Offices of Physicians (except Mental Health Specialists)

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1457545782 2007-08-29 2010-09-16 400 WARREN AVE, SUITE 01, EAST PROVIDENCE, RI, 029143807, US 400 WARREN AVE, SUITE 01, EAST PROVIDENCE, RI, 029143807, US

Contacts

Phone +1 401-438-7778
Fax 4014389388

Authorized person

Name DR. MUHAMMAD S AKHTAR
Role PRESIDENT
Phone 4014387778

Taxonomy

Taxonomy Code 261QM2500X - Medical Specialty Clinic/Center
License Number MD09655
State RI
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PREMIER MEDICAL GROUP RETIREMENT PLAN 2023 371474793 2024-07-08 PREMIER MEDICAL GROUP PROFESSIONAL CORPORATION 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2021-01-01
Business code 621111
Sponsor’s telephone number 4014387778
Plan sponsor’s address 999 SOUTH BROADWAY, SUITE 200, EAST PROVIDENCE, RI, 02914

Signature of

Role Plan administrator
Date 2024-07-08
Name of individual signing MUHAMMAD AKHTAR
Valid signature Filed with authorized/valid electronic signature
PREMIER MEDICAL GROUP RETIREMENT PLAN 2022 371474793 2023-10-04 PREMIER MEDICAL GROUP PROFESSIONAL CORPORATION 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2021-01-01
Business code 621111
Sponsor’s telephone number 4014387778
Plan sponsor’s address 999 SOUTH BROADWAY, SUITE 200, EAST PROVIDENCE, RI, 02914

Signature of

Role Plan administrator
Date 2023-10-04
Name of individual signing MUHAMMAD AKHTAR
Valid signature Filed with authorized/valid electronic signature
PREMIER MEDICAL GROUP RETIREMENT PLAN 2021 371474793 2022-07-24 PREMIER MEDICAL GROUP PROFESSIONAL CORPORATION 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2021-01-01
Business code 621111
Sponsor’s telephone number 4014387778
Plan sponsor’s address 999 SOUTH BROADWAY, SUITE 200, EAST PROVIDENCE, RI, 02914

Signature of

Role Plan administrator
Date 2022-07-24
Name of individual signing MUHAMMAD AKHTAR
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
MUHAMMAD S. AKHTAR, MD Agent 350 MOOSEHORN ROAD, EAST GREENWICH, RI, 02818, USA

PRESIDENT

Name Role Address
MUHAMMAD SAEED AKHTAR MD PRESIDENT 350 MOOSEHORN ROAD EAST GREENWICH, RI 02818 USA

VICE PRESIDENT

Name Role Address
IOLE S RIBIZZI-AKHTAR MD VICE PRESIDENT 350 MOOSEHORN ROAD EAST GREENWICH, RI 02818 USA

OTHER OFFICER

Name Role Address
MUHAMMAD S AKHTAR OTHER OFFICER RI 02914 UNI

Filings

Number Name File Date
202450097720 Annual Report 2024-04-03
202335214660 Annual Report 2023-05-03
202214662450 Annual Report 2022-04-13
202193514810 Annual Report 2021-03-01
202035778020 Annual Report 2020-03-02
201987053980 Annual Report 2019-02-19
201859380840 Annual Report 2018-02-28
201733749910 Annual Report 2017-02-08
201693345250 Annual Report 2016-02-26
201556697340 Annual Report 2015-03-08

Date of last update: 09 Oct 2024

Sources: Rhode Island Department of State