Provider Demographics
NPI:1437660693
Name:ABSOLUTE HEALTH & WELLNESS SOLUTIONS
Entity Type:Organization
Organization Name:ABSOLUTE HEALTH & WELLNESS SOLUTIONS
Other - Org Name:THE CONVENIENT CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:KUMAPLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:LARTEVI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:202-656-5543
Mailing Address - Street 1:PO BOX 60030
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20039-0030
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1140 VARNUM ST NE STE 201
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20017-2105
Practice Address - Country:US
Practice Address - Phone:202-656-5543
Practice Address - Fax:202-464-5544
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-16
Last Update Date:2017-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCMD042176261QU0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care