Provider Demographics
NPI:1346543337
Name:URGENT & PRIMARY CARE PLLC
Entity Type:Organization
Organization Name:URGENT & PRIMARY CARE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LAXMIKANT
Authorized Official - Middle Name:
Authorized Official - Last Name:BHOIWALA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:518-479-5240
Mailing Address - Street 1:598 COLUMBIA TPKE
Mailing Address - Street 2:P O BOX 579
Mailing Address - City:EAST GREENBUSH
Mailing Address - State:NY
Mailing Address - Zip Code:12061-1622
Mailing Address - Country:US
Mailing Address - Phone:518-479-5240
Mailing Address - Fax:
Practice Address - Street 1:598 COLUMBIA TPKE
Practice Address - Street 2:
Practice Address - City:EAST GREENBUSH
Practice Address - State:NY
Practice Address - Zip Code:12061-1622
Practice Address - Country:US
Practice Address - Phone:518-479-5240
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-13
Last Update Date:2017-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY197789207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty