Provider Demographics
NPI:1013372077
Name:APOLLO URGENT CARE
Entity Type:Organization
Organization Name:APOLLO URGENT CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BHAVANI
Authorized Official - Middle Name:
Authorized Official - Last Name:LAGADAPATI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:919-297-0348
Mailing Address - Street 1:101 LATTNER CT
Mailing Address - Street 2:SUITE 100
Mailing Address - City:MORRISVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27560-6843
Mailing Address - Country:US
Mailing Address - Phone:919-297-0348
Mailing Address - Fax:919-297-0349
Practice Address - Street 1:101 LATTNER CT
Practice Address - Street 2:STE 100
Practice Address - City:MORRISVILLE
Practice Address - State:NC
Practice Address - Zip Code:27560-6843
Practice Address - Country:US
Practice Address - Phone:919-297-0348
Practice Address - Fax:919-297-0349
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-17
Last Update Date:2016-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2007-01007207R00000X, 261QU0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty