| Name: | Narragansett Pulmonary Medicine LLC |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Limited Liability Company |
| Status: | Dissolved |
| Date of Organization in Rhode Island: | 13 May 2017 (8 years ago) |
| Date of Dissolution: | 28 Feb 2023 (2 years ago) |
| Date of Status Change: | 28 Feb 2023 (2 years ago) |
| Identification Number: | 001673759 |
| ZIP code: | 02879 |
| County: | Washington County |
| Principal Address: | 10 HIGH STREET SUITE A, SOUTH KINGSTOWN, RI, 02879, USA |
| Purpose: | MEDICAL / DOCTOR OFFICE, PROVIDE OUT PATIENT CARE |
| NAICS: | 621111 - Offices of Physicians (except Mental Health Specialists) |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1801323183 | 2017-05-17 | 2022-07-21 | 10 HIGH ST STE A, SOUTH KINGSTOWN, RI, 028793176, US | 10 HIGH ST STE A, SOUTH KINGSTOWN, RI, 028793176, US | |||||||||||||||||||||||||
|
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| Phone | +1 401-213-3299 |
| Phone | +1 302-333-7854 |
Authorized person
| Name | DR. MUHAMMAD B BOSTAJI |
| Role | OWNER/PROVIDER/PHYSICIAN |
| Phone | 4012133299 |
Taxonomy
| Taxonomy Code | 207RP1001X - Pulmonary Disease Physician |
| License Number | 12302 |
| State | RI |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 1609875046 |
| State | RI |
| Name | Role | Address |
|---|---|---|
| MUHAMMAD B. BOSTAJI | Agent | 10 HIGH STREET SUITE A, SOUTH KINGSTOWN, RI, 02879, USA |
| Number | Name | File Date |
|---|---|---|
| 202329564610 | Articles of Dissolution | 2023-02-28 |
| 202326212460 | Annual Report | 2023-01-19 |
| 202208345280 | Annual Report | 2022-01-20 |
| 202101265900 | Annual Report | 2021-09-12 |
| 202058572250 | Annual Report | 2020-09-27 |
| 201920719610 | Annual Report | 2019-09-19 |
| 201874454450 | Annual Report | 2018-08-14 |
| 201749508040 | Statement of Change of Registered/Resident Agent Office | 2017-09-11 |
| 201747655980 | Articles of Amendment | 2017-07-26 |
| 201743174890 | Articles of Organization | 2017-05-13 |
Date of last update: 26 Oct 2024
Sources: Rhode Island Department of State
