Healthcare Provider Details

I. General information

NPI: 1346619004
Provider Name (Legal Business Name): UNITED MEDICAL, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/23/2015
Last Update Date: 09/23/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

161 BECKS WOODS DR
BEAR DE
19701-3833
US

IV. Provider business mailing address

161 BECKS WOODS DR
BEAR DE
19701-3833
US

V. Phone/Fax

Practice location:
  • Phone: 302-451-5600
  • Fax: 866-319-6725
Mailing address:
  • Phone: 302-451-5600
  • Fax: 866-319-6725

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberC1-0009802
License Number StateDE
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberC1-0003127
License Number StateDE

VIII. Authorized Official

Name: MR. KEMAL ERKAN
Title or Position: CHAIRMAN/ CEO
Credential:
Phone: 302-451-5600