MEDICARE: DISTRICT URGENT CARE PROFESSIONAL CORPORATION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QU0200X	Urgent Care Clinic/Center

General Provider Information

NPI Number	:	1073474813
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DISTRICT URGENT CARE PROFESSIONAL CORPORATION

Provider Business Mailing Address
First Line	:	12617 HENDERSON CHAPEL LN
Second Line	:
City	:	BOWIE
State	:	MD
Zip	:	20720-3371
Country	:	US
Telephone Number	:	301-395-7490
Fax Number	:

Provider Business Practice Location Address
First Line	:	3108 LORD BALTIMORE DR STE 108
Second Line	:
City	:	WINDSOR MILL
State	:	MD
Zip	:	21244-5807
Country	:	US
Telephone Number	:	301-395-7490
Fax Number	:

Authorized Official
Title or Position	:	MANAGING EMPLOYEE
Name	:	SENAI MEDHANI
Credential	:
Telephone Number	:	301-395-7490

Provider Enumeration Date	:	11/20/2025
Last Update Date	:	12/06/2025

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Directions to “DISTRICT URGENT CARE PROFESSIONAL CORPORATION ” Practice Location

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