Healthcare Provider Details

I. General information

NPI: 1497668636
Provider Name (Legal Business Name): MED ACCELERATE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/28/2026
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1007 N ORANGE ST FL 4
WILMINGTON DE
19801-1242
US

IV. Provider business mailing address

1007 N ORANGE ST FL 4
WILMINGTON DE
19801-1242
US

V. Phone/Fax

Practice location:
  • Phone: 307-316-1096
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number StateNULL

VIII. Authorized Official

Name: ADDITYA DESHMUKH
Title or Position: AUTHORIZED OFFICIAL
Credential:
Phone: 307-316-1096