Healthcare Provider Details

I. General information

NPI: 1174451090
Provider Name (Legal Business Name): MEDBROOKES HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/11/2026
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

140 SHARON ST APT 3
MEDFORD MA
02155-3585
US

IV. Provider business mailing address

140 SHARON ST APT 3
MEDFORD MA
02155-3585
US

V. Phone/Fax

Practice location:
  • Phone: 312-395-7290
  • Fax:
Mailing address:
  • Phone: 312-395-7290
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: RAVIPAL SINGH LUTHRA
Title or Position: CEO
Credential:
Phone: 312-395-7290