Provider Demographics
NPI:1003543398
Name:WALK-IN MD CLINIC
Entity Type:Organization
Organization Name:WALK-IN MD CLINIC
Other - Org Name:WALK-IN MD URGENT CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SULAYMAN
Authorized Official - Middle Name:AHMED
Authorized Official - Last Name:ZUOD
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:781-964-2654
Mailing Address - Street 1:81 MEMORIAL PKWY
Mailing Address - Street 2:
Mailing Address - City:RANDOLPH
Mailing Address - State:MA
Mailing Address - Zip Code:02368-4505
Mailing Address - Country:US
Mailing Address - Phone:781-964-2654
Mailing Address - Fax:857-320-4553
Practice Address - Street 1:81 MEMORIAL PKWY
Practice Address - Street 2:
Practice Address - City:RANDOLPH
Practice Address - State:MA
Practice Address - Zip Code:02368-4505
Practice Address - Country:US
Practice Address - Phone:781-964-2654
Practice Address - Fax:857-320-4553
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-05
Last Update Date:2023-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent CareGroup - Multi-Specialty
No207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineGroup - Multi-Specialty
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Multi-Specialty