Provider Demographics
NPI:1407861180
Name:CLIFTON BURKE LLC
Entity Type:Organization
Organization Name:CLIFTON BURKE LLC
Other - Org Name:WALK-IN MEDICAL CARE BURKE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHYSICAIN
Authorized Official - Prefix:DR
Authorized Official - First Name:ABDULWAHAB
Authorized Official - Middle Name:H
Authorized Official - Last Name:HEGGI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:703-239-0300
Mailing Address - Street 1:6045 BURKE CENTRE PKWY
Mailing Address - Street 2:SUITE M
Mailing Address - City:BURKE
Mailing Address - State:VA
Mailing Address - Zip Code:22015-3751
Mailing Address - Country:US
Mailing Address - Phone:703-239-0300
Mailing Address - Fax:703-239-0442
Practice Address - Street 1:6045 BURKE CENTRE PKWY
Practice Address - Street 2:SUITE M
Practice Address - City:BURKE
Practice Address - State:VA
Practice Address - Zip Code:22015-3751
Practice Address - Country:US
Practice Address - Phone:703-239-0300
Practice Address - Fax:703-239-0442
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-30
Last Update Date:2009-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty