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Rhode Island Health Group Pain Management, P.C.

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Company Details

Name: Rhode Island Health Group Pain Management, P.C.
Jurisdiction: Rhode Island
Entity type: Professional Service Corporation
Status: Revoked Entity
Date of Organization in Rhode Island: 19 Feb 2021 (4 years ago)
Date of Dissolution: 12 Oct 2022 (3 years ago)
Date of Status Change: 12 Oct 2022 (3 years ago)
Identification Number: 001719604
Purpose: MEDICAL PRACTICE

Agent

Name Role Address
SYED IFTIKHAR HUSSAIN MD Agent 3 BRIDLE DRIVE, LINCOLN, RI, 02865, USA

INCORPORATOR

Name Role Address
SYED IFTIKHAR HUSSAIN MD INCORPORATOR 3 BRIDLE DRIVE LINCOLN, RI 02865 USA

National Provider Identifier

NPI Number:
1720681000
Certification Date:
2023-10-10

Authorized Person:

Name:
NASIR A BHATTI
Role:
MEDICAL DIRECTOR
Phone:

Taxonomy:

Selected Taxonomy:
208VP0000X - Pain Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
4017694555
Fax:
4016716139

Filings

Number Name File Date
202223986770 Revocation Certificate For Failure to File the Annual Report for the Year 2022-10-12
202220280150 Revocation Notice For Failure to File An Annual Report 2022-06-27
202192426150 Articles of Incorporation 2021-02-19

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Date of last update: 04 Jun 2025

Sources: Rhode Island Department of State