Name: | Syed M. Sayeed, MD, LLC |
Jurisdiction: | Rhode Island |
Entity type: | Domestic Limited Liability Company |
Status: | Dissolved |
Date of Organization in Rhode Island: | 29 May 2012 (13 years ago) |
Date of Dissolution: | 31 Dec 2012 (12 years ago) |
Date of Status Change: | 31 Dec 2012 (12 years ago) |
Identification Number: | 000790645 |
ZIP code: | 02914 |
County: | Providence County |
Principal Address: | 400 WARREN AVENUE, EAST PROVIDENCE, RI, 02914, USA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1902076557 | 2008-03-10 | 2008-03-10 | 400 WARREN AVE, EAST PROVIDENCE, RI, 029143807, US | 400 WARREN AVE, EAST PROVIDENCE, RI, 029143807, US | |||||||||||||||||||||||||
|
Phone | +1 401-431-1800 |
Fax | 4014311802 |
Authorized person
Name | LORI ANNE SANTOS |
Role | OFFICE MANAGER |
Phone | 4014311800 |
Taxonomy
Taxonomy Code | 174400000X - Specialist |
License Number | RI4701 |
State | RI |
Is Primary | Yes |
Other Provider Identifiers
Issuer | MEDICAID |
Number | 9000220 |
State | RI |
Name | Role | Address |
---|---|---|
DAVID A. DIPALMA, ESQ., CPA | Agent | 138 WARREN AVENUE, EAST PROVIDENCE, RI, 02914, USA |
Number | Name | File Date |
---|---|---|
201206729490 | Articles of Dissolution | 2012-12-31 |
201293526400 | Articles of Organization | 2012-05-29 |
Date of last update: 17 Oct 2024
Sources: Rhode Island Department of State