CASCADE KIDNEY SPECIALISTS, PLLC

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Company Details

Legal Name:	CASCADE KIDNEY SPECIALISTS, PLLC
Jurisdiction:	WASHINGTON
Entity Type:	WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category:	DOMESTIC ENTITY
Status:	Active
Formation/ Registration Date:	October 17th 2013
Expiration date:	31 Oct 2025
UBI Number:	603 342 213
ZIP code:	98004
City:	Bellevue
County:	KING
Home State:	WASHINGTON
Principal Office Street Address:	1370 116TH AVE NE, BELLEVUE, WA, 98004-3825, UNITED STATES

Contact Details

E-Mail:	SKANDALA@HOTMAIL.COM
Phone Number:	+1 425-390-4741

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name	Role	Address
SRINIVAS KANDALA	Registered Agent	1370 116TH AVE NE STE 209, BELLEVUE, WA, 98004-3825, UNITED STATES

Key Officers & Management

Name	Role	Address
PHILIP KING, M D	Governing Person	-
ANNEMARIE DOOLEY, M D	Governing Person	-
MADHURI KANDALA MD	Governing Person	-
MADHURI KANDALA MD	EXECUTOR	2015 116TH AVE NE, BELLEVUE, WA, 98004, UNITED STATES

National Provider Identifier

NPI Number:

1124458310

Link:

View on NPI website

Authorized Person:

Name:

DR. MADHURI KANDALA

Role:

OWNER

Phone:

4254538406

Taxonomy:

Selected Taxonomy:

207RN0300X - Nephrology Physician

Is Primary:

Yes

Contacts:

Phone:

+1 425-453-8406

Fax:

4254534173

Form 5500 Series

Employer Identification Number (EIN):

464030595

Plan Year:

2023

Number Of Participants:

12

Plan Name:

401(K)

Sponsor's telephone number:

4254538406

File:

Plan Administrator / Signatory:

SRINIVAS KANDALA(Plan administrator)

Plan Year:

2022

Number Of Participants:

12

Plan Name:

401(K)

Sponsor's telephone number:

4254538406

File:

Plan Administrator / Signatory:

MADHURI KANDALA(Plan administrator) MADHURI KANDALA(Employer/plan sponsor)

Plan Year:

2021

Number Of Participants:

11

Plan Name:

401(K)

Sponsor's telephone number:

4254538406

File:

Plan Administrator / Signatory:

MADHURI KANDALA(Plan administrator) MADHURI KANDALA(Employer/plan sponsor)

Plan Year:

2020

Number Of Participants:

11

Plan Name:

401(K)

Sponsor's telephone number:

4254538406

Plan Administrator / Signatory:

MADHURI KANDALA(Plan administrator)

Plan Year:

2019

Number Of Participants:

11

Plan Name:

401(K)

Sponsor's telephone number:

4254538406

File:

Plan Administrator / Signatory:

MADHURI KANDALA(Plan administrator)

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