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Persona Doctors Payments, LLC

PDP · LLC · DE

Active

Details

EIN: 82-3832694
State File #: 6673835
Formation Date: 2017-12-21
Domains: 4persona.com, persona-doctors.com, persona-doctor.com, personadoctors.com, personadoctor.com, 4pdr.com

People (3)

NameRoleCredentialNPI
Dr. Sumit PatelprescriberM.D.1851786925
Dr. Haifa Ahmed Aljanabi ShabanprescriberM.D.—
Kavan Jalal Shabansole member——

Licenses (31)

JurisdictionTypeLicense #StatusExpires
ALmedical license47652unknown2024-12-31
AZmedical license72021unknown2025-06-16
CAmedical license—pending—
COmedical licenseCDR.0003383unknown2025-04-30
CTmedical license076541unknown2025-02-28
DCmedical licenseMD500002556unknown2024-12-31
DEbusiness registration6673835active—
DEmedical licenseC1-0026588unknown2025-03-31
FLmedical licenseME135844unknown2026-01-31
GAmedical license079770unknown2025-02-28
MDmedical licenseD0040803active2027-09-30
MEmedical licenseMD27767unknown2025-02-28
MImedical licenseEMC0004221unknown2026-11-13
MNmedical license75655unknown2025-02-28
MTmedical licenseMED-PHYS-COM-LIC-131426unknown2025-03-31
NDmedical license20454unknown2025-02-16
NEmedical licenseCP471unknown2024-10-01
NHmedical license25178unknown2025-11-28
NJmedical license—pending—
NMmedical licenseMD2019-0952unknown2026-07-01
NVmedical license24697unknown2025-06-30
NYmedical license—pending—
USdeaFP7466231active2027-03-31
USdeaFS2539700active2029-02-28
UTmedical license13678522-1235unknown2026-01-31
VAmedical license—pending—
VTmedical license042.0017480unknown2024-11-30
WAmedical licenseIMLCC.MD.61505033unknown2026-02-16
WImedical license3711-320unknown2025-10-31
WVmedical license33219unknown2025-06-30
WYmedical license16438Cunknown2024-06-30

Certifications (1)

NameTypeStatusExpires
LegitScript Healthcare Merchant Certification — 4persona.comlegitscriptpending—

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