Provider Demographics
NPI:1134489412
Name:UNITED MEDICAL CLINIC LLC
Entity Type:Organization
Organization Name:UNITED MEDICAL CLINIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KEMAL
Authorized Official - Middle Name:
Authorized Official - Last Name:ERKAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:302-451-5600
Mailing Address - Street 1:131 CONTINENTAL DR
Mailing Address - Street 2:SUITE 215
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19713-4305
Mailing Address - Country:US
Mailing Address - Phone:302-266-9166
Mailing Address - Fax:302-266-9167
Practice Address - Street 1:1021 GILPIN AVE
Practice Address - Street 2:SUITE 203
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19806-3270
Practice Address - Country:US
Practice Address - Phone:302-451-5607
Practice Address - Fax:866-230-9978
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-21
Last Update Date:2012-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC10003127207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty