MEDICARE: FAST CARE MEDICAL AID UNIT, LLC

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	:	1144625344
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FAST CARE MEDICAL AID UNIT, LLC

Provider Business Mailing Address
First Line	:	PO BOX 428
Second Line	:
City	:	ELKTON
State	:	MD
Zip	:	21922-0428
Country	:	US
Telephone Number	:	410-398-0590
Fax Number	:	443-485-6531

Provider Business Practice Location Address
First Line	:	2327 PULASKI HWY
Second Line	:	SUITE 103
City	:	NORTH EAST
State	:	MD
Zip	:	21901-3706
Country	:	US
Telephone Number	:	443-945-9494
Fax Number	:	443-485-6531

Authorized Official
Title or Position	:	MANAGING MEMBER
Name	:	ZAHID ASLAM
Credential	:
Telephone Number	:	410-398-0590

Provider Enumeration Date	:	10/30/2014
Last Update Date	:	10/30/2014

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