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Internal Medicine Primary Care, P.A.

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Company Details

Name: Internal Medicine Primary Care, P.A.
Jurisdiction: MISSISSIPPI
Business Type: Profit Corporation
Status: Good Standing
Effective Date: 01 Sep 2018 (7 years ago)
Business ID: 1154231
ZIP code: 39402
County: Lamar
State of Incorporation: MISSISSIPPI
Principal Office Address: 135 Mayfair RdHattiesburg, MS 39402

Agent

Name Role Address
Imad Tahboub Agent 196 Ironwood Plantation Blvd, Madison, MS 39110

Incorporator

Name Role Address
Imad Tahboub MD Incorporator 196 Ironwood Plantation Blvd., Madison, MS 39110

President

Name Role Address
Imad Tahboub MD President 196 Ironwood Plantation Blvd, Madison, MS 39110

National Provider Identifier

NPI Number:
1629542832

Authorized Person:

Name:
IMAD TAHBOUB
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
Yes

Contacts:

Filings

Type Status Filed Date Description
Annual Report Filed 2025-01-27 Annual Report For Internal Medicine Primary Care, P.A.
Annual Report Filed 2024-04-13 Annual Report For Internal Medicine Primary Care, P.A.
Annual Report Filed 2023-04-15 Annual Report For Internal Medicine Primary Care, P.A.
Annual Report Filed 2022-01-19 Annual Report For Internal Medicine Primary Care, P.A.
Annual Report Filed 2021-04-08 Annual Report For Internal Medicine Primary Care, P.A.
Annual Report Filed 2020-01-17 Annual Report For Internal Medicine Primary Care, P.A.
Annual Report Filed 2019-03-15 Annual Report For Internal Medicine Primary Care, P.A.
Formation Form Filed 2018-08-13 Formation For Internal Medicine Primary Care, P.A.

USAspending Awards / Financial Assistance

Date:
2020-05-02
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
22700.00
Total Face Value Of Loan:
22700.00

Paycheck Protection Program

Jobs Reported:
3
Initial Approval Amount:
$22,700
Date Approved:
2020-04-30
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$22,700
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$22,920.69
Servicing Lender:
Renasant Bank
Use of Proceeds:
Payroll: $22,700

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Date of last update: 06 Jul 2025

Sources: Company Profile on Mississippi Secretary of State Website