SAUMYAJIT DATTA, M.D., FAMILY MEDICINE, PLLC

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Company Details

Legal Name:	SAUMYAJIT DATTA, M.D., FAMILY MEDICINE, PLLC
Jurisdiction:	WASHINGTON
Entity Type:	WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category:	DOMESTIC ENTITY
Status:	Voluntarily Dissolved
Formation/ Registration Date:	September 22nd 2008
Date of Dissolution:	September 21st 2020
Expiration date:	30 Sep 2020
UBI Number:	602 866 241
ZIP code:	99352
City:	Richland
County:	BENTON
Home State:	WASHINGTON
Principal Office Street Address:	1950 KEENE ROAD, BLDG #J, RICHLAND, WA, 99352, UNITED STATES

Contact Details

E-Mail:	DATTASD@YAHOO.COM
Phone Number:	+1 509-943-6800

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name	Role	Address
SAUMYAJIT DATTA	Registered Agent	1950 KEENE RD BLDG J, RICHLAND, WA, 99352-7752, UNITED STATES

Key Officers & Management

Name	Role
SAUMYAJIT DATTA	Governing Person

National Provider Identifier

NPI Number:

1790939833

Link:

View on NPI website

Authorized Person:

Name:

DR. SAUMYAJIT NMI DATTA

Role:

OWNER

Phone:

5099436800

Taxonomy:

Selected Taxonomy:

207Q00000X - Family Medicine Physician

Is Primary:

Yes

Contacts:

Phone:

+1 509-943-6800

Fax:

5094913900

Form 5500 Series

Employer Identification Number (EIN):

263413437

Plan Year:

2019

Number Of Participants:

3

Plan Name:

401(K)

Sponsor's telephone number:

5099436800

File:

Plan Administrator / Signatory:

SAUMYAJIT DATTA(Plan administrator)

Plan Year:

2018

Number Of Participants:

4

Plan Name:

401(K)

Sponsor's telephone number:

5099436800

File:

Plan Administrator / Signatory:

SAUMYAJIT DATTA(Plan administrator)

Plan Year:

2017

Number Of Participants:

4

Plan Name:

401(K)

Sponsor's telephone number:

5099436800

File:

Plan Administrator / Signatory:

SAUMYAJIT DATTA(Plan administrator)

Plan Year:

2016

Number Of Participants:

5

Plan Name:

401(K)

Sponsor's telephone number:

5099436800

File:

Plan Administrator / Signatory:

SAUMYAJIT DATTA(Plan administrator)

Plan Year:

2015

Number Of Participants:

5

Plan Name:

401(K)

Sponsor's telephone number:

5099436800

File:

Plan Administrator / Signatory:

SAUMYAJIT DATTA(Plan administrator)

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