Provider Demographics
NPI:1801036413
Name:COMPREHENSIVE URGENT MEDICAL CARE, PC
Entity Type:Organization
Organization Name:COMPREHENSIVE URGENT MEDICAL CARE, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:AZRA
Authorized Official - Middle Name:S
Authorized Official - Last Name:AHMAD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-707-3707
Mailing Address - Street 1:1110 ELDEN ST STE 102A
Mailing Address - Street 2:
Mailing Address - City:HERNDON
Mailing Address - State:VA
Mailing Address - Zip Code:20170-5527
Mailing Address - Country:US
Mailing Address - Phone:703-707-3707
Mailing Address - Fax:703-707-9010
Practice Address - Street 1:1110 ELDEN ST STE 102A
Practice Address - Street 2:
Practice Address - City:HERNDON
Practice Address - State:VA
Practice Address - Zip Code:20170-5527
Practice Address - Country:US
Practice Address - Phone:703-707-3707
Practice Address - Fax:703-707-9010
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-23
Last Update Date:2009-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care