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West Bay Medical Group, Inc

Company Details

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
NAICS: 621111 - Offices of Physicians (except Mental Health Specialists)
Fictitious names: Uniquely You (trading name, 2021-03-15 - )

National Provider Identifier

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

Contacts

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

Agent

Name Role Address
DR. SUNIL P. VERMA Agent 333 GREEN END AVENUE, MIDDLETOWN, RI, 02842, USA

PRESIDENT

Name Role Address
SUNIL VERMA PRESIDENT 60 LINDSAY LANE CRANSTON, RI 02921 USA

Filings

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