Healthcare Provider Details

I. General information

NPI: 1467755835
Provider Name (Legal Business Name): MEDICS USA MEDICAL CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/07/2010
Last Update Date: 06/21/2024
Certification Date: 05/20/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1700 17TH ST NW
WASHINGTON DC
20009-2453
US

IV. Provider business mailing address

16882 CLARKES GAP RD
PAEONIAN SPRINGS VA
20129-1711
US

V. Phone/Fax

Practice location:
  • Phone: 202-483-4400
  • Fax:
Mailing address:
  • Phone: 202-483-4400
  • Fax: 540-338-1975

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License NumberCO125431
License Number StateDC

VIII. Authorized Official

Name: XIAMISIYA AIKEBAI
Title or Position: BILLING MANAGER
Credential:
Phone: 202-483-4400