Provider Demographics
NPI:1316358583
Name:MY CARE URGENT CARE LLC
Entity Type:Organization
Organization Name:MY CARE URGENT CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:VIMLA
Authorized Official - Middle Name:
Authorized Official - Last Name:BHOOSHAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:301-365-8458
Mailing Address - Street 1:9739 AVENEL FARM DR
Mailing Address - Street 2:
Mailing Address - City:POTOMAC
Mailing Address - State:MD
Mailing Address - Zip Code:20854-5413
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:301-365-9412
Practice Address - Street 1:8500 ANNAPOLIS RD
Practice Address - Street 2:SUITE 100
Practice Address - City:NEW CARROLLTON
Practice Address - State:MD
Practice Address - Zip Code:20784-3014
Practice Address - Country:US
Practice Address - Phone:301-365-8458
Practice Address - Fax:301-365-9412
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-09
Last Update Date:2014-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care