Provider Demographics
NPI:1346619004
Name:UNITED MEDICAL, LLC
Entity Type:Organization
Organization Name:UNITED MEDICAL, LLC
Other - Org Name:UNITED MEDICAL ACCOUNTABLE CARE ORGANIZATION, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHAIRMAN/ CEO
Authorized Official - Prefix:MR
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 1:161 BECKS WOODS DR
Mailing Address - Street 2:
Mailing Address - City:BEAR
Mailing Address - State:DE
Mailing Address - Zip Code:19701-3833
Mailing Address - Country:US
Mailing Address - Phone:302-451-5600
Mailing Address - Fax:866-319-6725
Practice Address - Street 1:161 BECKS WOODS DR
Practice Address - Street 2:
Practice Address - City:BEAR
Practice Address - State:DE
Practice Address - Zip Code:19701-3833
Practice Address - Country:US
Practice Address - Phone:302-451-5600
Practice Address - Fax:866-319-6725
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-23
Last Update Date:2015-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC1-0003127207Q00000X
DEC1-0009802207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty