Provider Demographics
NPI:1881830925
Name:MARYLAND URGENT CARE
Entity Type:Organization
Organization Name:MARYLAND URGENT CARE
Other - Org Name:SHERIF HASSAN,MD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SHERIF
Authorized Official - Middle Name:
Authorized Official - Last Name:HASSAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:301-277-3555
Mailing Address - Street 1:9831 GREENBELT RD
Mailing Address - Street 2:SUITE 103
Mailing Address - City:LANHAM
Mailing Address - State:MD
Mailing Address - Zip Code:20706-2202
Mailing Address - Country:US
Mailing Address - Phone:301-277-3555
Mailing Address - Fax:
Practice Address - Street 1:9831 GREENBELT RD
Practice Address - Street 2:SUITE 103
Practice Address - City:LANHAM
Practice Address - State:MD
Practice Address - Zip Code:20706-2202
Practice Address - Country:US
Practice Address - Phone:301-277-3555
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-19
Last Update Date:2008-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD50862261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC955671Medicare PIN