Provider Demographics
NPI:1255475380
Name:AFK LLC
Entity Type:Organization
Organization Name:AFK LLC
Other - Org Name:MED FIRST URGENT CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CO OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALI
Authorized Official - Middle Name:AHMAD
Authorized Official - Last Name:KHORRAMI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:703-503-1112
Mailing Address - Street 1:9452 MAIN STREET
Mailing Address - Street 2:MED FIRST URGENT CARE
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22031
Mailing Address - Country:US
Mailing Address - Phone:703-503-1112
Mailing Address - Fax:703-503-1154
Practice Address - Street 1:9452 MAIN STREET
Practice Address - Street 2:MED FIRST URGENT CARE
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22031
Practice Address - Country:US
Practice Address - Phone:703-503-1112
Practice Address - Fax:703-503-1154
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA105539261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
G00709Medicare ID - Type Unspecified