Name: | West Bay Medical Group, Inc |
Jurisdiction: | Rhode Island |
Entity type: | Domestic Profit Corporation |
Status: | Activ |
Date of Organization in Rhode Island: | 20 Apr 2016 (9 years ago) |
Identification Number: | 001662615 |
ZIP code: | 02921 |
County: | Providence County |
Principal Address: | 60 LINDSAY LANE, CRANSTON, RI, 02921, USA |
Purpose: | MEDICAL Title: 7-1.2-1701 |
Fictitious names: |
Uniquely You (trading name, 2021-03-15 - ) |
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
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1366898223 | 2016-05-10 | 2016-05-10 | 60 LINDSAY LN, CRANSTON, RI, 029213562, US | 215 TOLL GATE RD, SUITE 303, WARWICK, RI, 028864458, US | |||||||||||||||||
|
Phone | +1 401-468-8111 |
Authorized person
Name | SUNIL P VERMA |
Role | PRESIDENT |
Phone | 4014688111 |
Taxonomy
Taxonomy Code | 207R00000X - Internal Medicine Physician |
License Number | MD10322 |
State | RI |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
DR. SUNIL P. VERMA | Agent | 333 GREEN END AVENUE, MIDDLETOWN, RI, 02842, USA |
Name | Role | Address |
---|---|---|
SUNIL VERMA | PRESIDENT | 60 LINDSAY LANE CRANSTON, RI 02921 USA |
Number | Name | File Date |
---|---|---|
202443801200 | Annual Report | 2024-01-05 |
202443801480 | Annual Report | 2024-01-05 |
202443802180 | Annual Report | 2024-01-05 |
202443798960 | Reinstatement | 2024-01-05 |
202223940240 | Revocation Certificate For Failure to File the Annual Report for the Year | 2022-10-12 |
202220176110 | Revocation Notice For Failure to File An Annual Report | 2022-06-27 |
202193935660 | Fictitious Business Name Statement | 2021-03-15 |
202190294210 | Annual Report | 2021-02-07 |
202039706560 | Annual Report | 2020-05-11 |
201985285310 | Annual Report | 2019-01-28 |
Date of last update: 26 Oct 2024
Sources: Rhode Island Department of State