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Midsouth Internal Medicine Physicians PLLC

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Company Details

Name: Midsouth Internal Medicine Physicians PLLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Dissolved
Effective Date: 17 Jan 2007 (18 years ago)
Business ID: 905300
State of Incorporation: MISSISSIPPI
Historical names: Mid-South Internal Medicine Physicians PLLC

Agent

Name Role Address
Thakur, Tapan Agent 401 Southcrest Circle Suite 104, Southaven, MS 38671

Member

Name Role Address
Tapan Thakur Member 401 Southcrest Circle Suite 104, Southaven, MS 38671

National Provider Identifier

NPI Number:
1972706521

Authorized Person:

Name:
TAPAN K THAKUR
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
174400000X - Specialist
Is Primary:
Yes

Contacts:

Fax:
6623492718

Form 5500 Series

Employer Identification Number (EIN):
208105889
Plan Year:
2009
Number Of Participants:
11
Sponsors Telephone Number:
Plan Year:
2009
Number Of Participants:
0
Sponsors Telephone Number:

Filings

Type Status Filed Date Description
Failure to File AR Filed 2011-12-05 Failure to File AR
Amendment Form Filed 2007-05-31 Amendment
Formation Form Filed 2007-01-17 Formation

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Date of last update: 06 May 2025

Sources: Company Profile on Mississippi Secretary of State Website