Provider Demographics
NPI:1497410666
Name:ASAP MEDICAL CLINIC LLC
Entity Type:Organization
Organization Name:ASAP MEDICAL CLINIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NP
Authorized Official - Prefix:
Authorized Official - First Name:CHARITY
Authorized Official - Middle Name:IJEOMA
Authorized Official - Last Name:EHIEM
Authorized Official - Suffix:
Authorized Official - Credentials:CRNP
Authorized Official - Phone:240-553-7993
Mailing Address - Street 1:6188 OXON HILL RD STE 601
Mailing Address - Street 2:
Mailing Address - City:OXON HILL
Mailing Address - State:MD
Mailing Address - Zip Code:20745-3152
Mailing Address - Country:US
Mailing Address - Phone:240-553-7993
Mailing Address - Fax:240-253-2629
Practice Address - Street 1:6188 OXON HILL RD STE 601
Practice Address - Street 2:
Practice Address - City:OXON HILL
Practice Address - State:MD
Practice Address - Zip Code:20745-3152
Practice Address - Country:US
Practice Address - Phone:240-553-7993
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-03
Last Update Date:2023-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care