Provider Demographics
NPI:1598180002
Name:MOBILE PHYSICIAN CLINICS, LLC
Entity Type:Organization
Organization Name:MOBILE PHYSICIAN CLINICS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:WALEED
Authorized Official - Middle Name:
Authorized Official - Last Name:NAJEEB
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:414-727-5850
Mailing Address - Street 1:2501 W SILVER SPRING DR
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:WI
Mailing Address - Zip Code:53209-4217
Mailing Address - Country:US
Mailing Address - Phone:414-461-9250
Mailing Address - Fax:
Practice Address - Street 1:2501 W SILVER SPRING DR
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:WI
Practice Address - Zip Code:53209-4217
Practice Address - Country:US
Practice Address - Phone:414-461-9250
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-20
Last Update Date:2014-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization