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DINU G. MISTRY, M.D., P.A.

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Company Details

Name: DINU G. MISTRY, M.D., P.A.
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Active-Good Standing
Date of registration: 23 Aug 2001 (24 years ago)
Financial Date End: 31 Aug 2025
Entity Number: 428155
Place of Formation: IDAHO
File Number: 428155
ZIP code: 83712
County: Ada County
Mailing Address: 341 E BANNOCK ST BOISE, ID 83712-6208

Agent

Name Role Address
DINU G MISTRY-WOLF MD Agent 341 E BANNOCK ST, BOISE, ID 83712

President

Name Role Address Appointed On Resigned On
Dinu Mistry President 341 E BANNOCK ST, BOISE, ID 83712 2022-11-07 No data
Dinu Mistry-Wolf President 341 E BANNOCK ST, BOISE, ID 83712 2020-09-02 2022-11-07

National Provider Identifier

NPI Number:
1932446127

Authorized Person:

Name:
DR. DINU MISTRY
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
261Q00000X - Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
2083427034

Filing

Filing Name Filing Number Filing date
Annual Report 0005898621 2024-09-12
Annual Report 0005371870 2023-08-25
Application for Reinstatement 0004984204 2022-11-07
Dissolution/Revocation - Administrative 0004981288 2022-11-05
Annual Report 0004394998 2021-08-29

USAspending Awards / Financial Assistance

Date:
2020-04-13
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:
27300.00
Total Face Value Of Loan:
27300.00

Paycheck Protection Program

Date Approved:
2020-04-12
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
27300
Current Approval Amount:
27300
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
27590.2

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Date of last update: 01 Jul 2025

Sources: Idaho Secretary of State